If you are a current patient of ours, please DO NOT USE this form. Please contact us directly at 519-432-7546 with any inquiries. This form is not for appointment bookings, cancellations or updates post treatment. Thank you.


This and all other electronic correspondence from Dr. Cumberland or her associates does not constitute: 1) medical advice  2) an evaluation or 3) a consultation.  Nor will any such correspondence be considered as a replacement or substitute for a formal office evaluation and/or consultation by Dr. Cumberland or her associates.  Further, information and correspondence contained in this and/or subsequent email correspondence, including all replies, does not and will not create a formal doctor-patient relationship.  Prospective patients desiring a formal consultation are invited to call 519-432-7546 for an appointment.