Family Doctor Registration

Signup to submit a Telehealth or E-Consultation

Family Doctors: use this form to register for a user account.
All fields are required.
Physician's first name.
Physician's last name.
Must be a valid Physician PRAC ID.
Physician's direct phone number required (preferrably mobile phone).
Physician's office fax. Fax correspondence will be sent to this number.
Physician's personal, private email. No patient healthcare information will be sent by email.
Password for using this website.
Confirm password.

Please Note

To ensure the confidentiality of patient healthcare information, physician contact information must be verified before a physician account can be activated.

A member of our team will contact you at the number provided to confirm your PRACID, direct phone number and office fax number. Your account will become active when this information has been confirmed. This process will normally take less than one business day.