CONTACT


Fax: 1 (226) 775-5655

130 Thompson Rd, London, ON N5Z 2Y6

 

Patients who are interested in accessing the clinic for chronic pelvic pain, or for the prostate cancer survivorship program, require a physician referral. Please ask your doctor to complete this form, and fax it to the clinic.

Physician Referrals

High-frequency electromagnetic pelvic floor therapy for incontinence

If you are interested in high-frequency electromagnetic pelvic floor therapy for urinary incontinence, you may refer yourself using the form below. The clinic will contact you and setup an initial appointment and trial session. The cost for this initial appointment is $50 which is applied as a credit to any purchased treatments.

By submitting this form you are consenting to communicate with the Thrive Urology & Wellness clinic electronically.