Whistler 360 Health Collaborative Patient Registry

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Whistler 360 Health Collaborative is working to improve patient’s access to care in our community. If you or a member of your family are currently without a primary care physician or nurse practitioner, please take a moment and register that status here. You will see a confirmation on the screen once you have completed this. Please complete this for each family member who needs a primary care provider.

Please do not contact us about this registry. We will contact you once there is a new primary care provider available for you.

First Name *

Date of Birth

YYYY

Last Name (Family Name)
*

Address *

Email
*

Phone number *

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