First Name
*
Last Name
*
Full birth date (YYYY-MM-DD)
*
-
Year
-
Month
Day
Date
City/Town
*
We are only considering prospective patients permanently residing in the South Okanagan area.
Email
*
example@example.com
I understand that Wesmed is a technology-driven practice, and that by joining as a patient, it will expected of me to be comfortable with and able to use a secure patient portal (website and/or mobile app) to interact with the clinic. I acknowledge that scheduling all appointments, messaging, and communication take place through a secure patient portal. I understand that no exceptions are made. If I find it difficult to navigate digital platforms, Wesmed is not the right fit for my care needs and that I will not submit this request.
*
I agree and wish to sign up on the waiting list.
Submit
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