CCMSBC Physician Service Registration Form

This form is for the benefit of our members, and potentially for all BC physicians at large.  A list of services will be provided to all members after enough members signed up.

Specialty: e.g. Rheumatology, Family Medicine

Accepting new patients or new referral: Yes, or No

Language spoken: languages other than English

Location of the service, e.g. Burnaby, Surrey.

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