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Provider Referral

If you wish to refer a client, please fill out this form or e-mail me directly at andiefoerster@gmail.com. A medical provider referral is not mandatory. If you would like to refer yourself, please fill out the "self-referral" or you can e-mail me directly or call the office at 705-721-1143. 

Signs or Symptoms

Contact Me &
Let's Get Started

If you would like to book a myofunctional therapy assessment or have questions and want to learn more, fill out this form or e-mail me directly at andiefoerster@gmail.com! No referral necessary!

Signs or Symptoms
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andiefoerster@gmail.com

Service is provided inside Dr. Elston Wong Dentistry and virtually

222 Mapleview Dr. West, Unit 1+2

Barrie, ON L4N 9E7

https://www.drelstonwong.com/ 

P: 705-721-1143

F: 705-721-9940

© 2025 Charm Myofunctional Therapy

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