Registration form for the Compulsion and Food Dependence Clinic

Are you interested in the CMIE Compulsion and Food Addiction Clinic?

To register for the Compulsion and Food Addiction Medicine Clinic, simply complete the registration form below. Our team will take charge of your request and contact you by phone as soon as possible to schedule a data collection appointment.

Step 1 of 2 – Personal informations

Personal Informations

Name(Required)
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E-mail(Required)
Postal address(Required)
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