Vancouver Coastal Health (VCH) is working to build a pool of physicians who are interested in additional work as a part of the COVID-19 immunization team across all Communities of Care – Richmond, Vancouver, Coastal Urban and Coastal Rural. 
 
If you would like to add your name to the pool, please submit your information below.

Please note that we cannot guarantee shifts at this time, as clinic staffing needs are determined by vaccine availability. For operational efficiency as well as in consideration of Infection Prevention and Control measures, priority for pre-booking is being given to those who can consistently commit to full 12-hour shifts, three days per week. Our pools are being built for maximum capacity so that we can remain responsive to any possible scenario, and as such, we do not necessarily anticipate everyone to be solicited. Nonetheless, your offer of support to ensure that we are as prepared as possible is greatly appreciated.

If you have any questions, please contact COVID19ImmunizationTeam@vch.ca.
 
Before you begin the survey, please ensure you are accessing this page via Google Chrome. Other web browsers may cause questions to not load properly.

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* 1. Please provide your contact information:

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* 2. What is your occupation?

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* 3. If you would like a contract to be issued under your Health Corporation, please provide the name:

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* 4. Are you currently a credentialed staff member with VCH?

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* 5. What days of the week could you commit to working at an immunization clinic? Please select all that apply.

  Yes No Maybe
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

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* 6. What type of shift would you generally be available for? Please select all that apply.

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* 7. How many shifts per week would you be able to commit to?

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* 8. Are there any dates for which you already know that you are not available (e.g., due to planned vacation time)?

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* 9. What communities would you be available to work in? Please select all that apply.

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* 10. Is your regulatory college registration current?

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* 11. Over the last year, how often have you administered intramuscular immunization?

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