Forms

Patient Referral Form

If you are a healthcare professional looking to refer patients who are living with jaw & facial pain, please click the button below to download our electronic referral form.

Email this form to our team and we will contact your patient to schedule their initial assessment.

We aim to get your patients seen within 1 week.

Thank you for your collaboration!

OR

TMJ Evaluation Test

Take this quick TMJ test to see whether you might have TMD and if you need to see a TMJ specialist. All fields are required.

OR

Toronto

The JawSpine Centre

26 Wellington St E, Unit 110, Toronto, ON M5E 1S2, Canada

Hours

Friday: 9 am – 5 pm

Saturday: 10 am – 4 pm

Sunday: Closed

Belleville

Belleville Quinte Chiropractic & Sports Injury Clinic
65 Dundas St E. Belleville ON K8N 1B9

Hours

Mon & Tue: 8:30 am – 2:30 pm

Wednesday: 8:30 am – 6 pm

Thursday: 2:30 pm – 6 pm

Picton

County Chiropractic Centre

49 Main Street, Picton, ON K0K 2T0

Hours

Tuesday: 3 pm – 6 pm

Thursday: 9 am – 2 pm

Wellington

County Chiropractic Centre

296 Wellington Main St, Wellington, ON K0K 3L0

Hours

Monday: 3 pm – 6 pm

Working Hours

Monday: 8:30 am – 2:30 pm (Belleville) | 3 pm – 6 pm (Wellington)
Tuesday: 8:30 am – 2:30 pm (Belleville) | 3 pm – 6 pm (Picton)
Wednesday: 8:30 am – 6 pm (Belleville)
Thursday: 9 am – 2 pm (Picton) | 2:30 pm – 6 pm (Belleville)
Friday: 9 am – 5 pm (Toronto)
Saturday: 10 am – 3 pm (Toronto)

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The JawSpine Centre

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