This is for patients referred by a primary care physician/provider who is part of the virtual care program (see below).
Your Contact Information
This must be a mobile phone at which I can contact you by text if needed.
Who referred you to this service
Wait for a Text or Email Reply
Please check your email within 24 hours for a confirmation. If you do not receive it, check your Spam Folder for an email from email@example.com
If you have any questions about this service