Well.ca Services - Care Provider Application
Thank you SO much for your interest in Well.ca Services!

** Note that this program is very new and so we are not expanding our pilot group of care providers just yet. That said, please leave your information and if we think you'd be a good fit, we'll circle back as soon as we're ready to introduce more providers/services. **

This program is only available to Canadian care providers.
Email address *
First & Last Name *
Your answer
Location (City)
Your answer
Area(s) of Practice *
Check all that apply.
Required
Please provide more detail on your professional accreditation, relevant qualifications and experience, and/or area(s) of focus: *
Your answer
Why do you want to work with Well.ca Services? *
Tell us why you're a great fit!
Your answer
Do you (or have you ever) conducted phone or video appointments as part of your regular practice? *
Link(s) to website, social media, etc. (if applicable)
Your answer
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