This form is also used to re-activate accounts.
Upon submission, the HCDP Data Department will review your application. In accordance with HCDP Data Policy, a decision will be made determining whether or not your application qualifies for an HCDP VAN account. If approved, a relevant and impermanent VAN account will be granted based on the needs of the individual.
Please fill out all items and a representative from the HCDP Data Department will be in touch.