Contact Dr. Conrad at:

E-Mail: drconrad@interlog.com

Telephone: (416) 961-2053 Fax: (416) 962-0795

131 Hazelton Ave.
Toronto, Ontario, Canada
M5R 2E4
416-961-2053
9955 Yonge St.
Richmond Hill
L4C 9M6
905-884-6998




Company
Email Address
Street Address
City Prov./State
Country Postal/Zip Code
Work Phone #
Fax Phone # Home Phone #
Contact Name: Title:
Type of Business
How would you like
to be contacted?
Email Phone Call Fax Postal Mail

Additional Information






Is this the first time you have requested information concerning cosmetic surgery? Yes No
Are you thinking of having cosmetic surgery? Yes No
Have you previously had cosmetic surgery? Yes No
If so, were you pleased? Yes No
Were you referred by a doctor? Yes No
Have you previously heard of Dr. Conrad? Yes No
Do you feel that this web site has been helpful? Yes No




Web Authoring Provided by



Index | Home Page | Introduction