Yukon Locum Profile Questionnaire

Locum Profile Questionnaire

Interested in a Yukon Locum?
Find out more information, community profiles and current opportunties here: YukonDocs

____________________________________________

Registration and Licensing

Please refer to the Yukon Medical Council website Yukon Medical Council for up-to-date information on Yukon licensing and registration requirements to practice medicine in the territory.

____________________________________________

Any questions can be directed to the Director of Physician Recruitment at carly.cox@yukondoctors.ca
Interested in locuming in the Yukon?

Please complete the following questionnaire which will help us match you with a practice
Date

MonthDayYear
Date
Name

First NameLast Name
Preferred E-mail Address
Your E-mail Address
Preferred Contact Number
Format: (000) 000-0000.
Preferred Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I am an interested:

Other
Specialty or other information (if applicable)
Availability for Yukon locum work (please indicate the period you would be interested in / available to work in the Yukon).

Other
Approximate available (days, weeks months, etc.)
Family Physicians: Please indicate any services you are willing to provide

Other
Family Physicians: Please indicate communities in which you would consider working (see note below for more info).

Other (Remote Communities: Faro/Ross River, Mayo, Pelly Crossing, etc.)
Note: There are only four communities with resident physicians.
- Whitehorse is the primary centre.
- Watson Lake and Dawson City have small community hospitals and ER coverage mandatory but no primary care OBS.
- Haines Junction is a solo physician practice with a nursing station and no ER or OBS coverage
Your current certifications: (such as ATLS, ALARM, ACLS, etc.)
Additional notes, questions, etc.
Add any other information you think might be helpful.
Thank you for your interest in the Yukon. Our recruiter will respond to you shorlty.

Any questions can be directed to our YukonDocs Recruiter
carly.cox@yukondoctors.ca
Should be Empty:

Locum Profile Questionnaire

Interested in locuming in the Yukon?