Health Innovation Group & Praxus Health
Practice Facilitation Program

Please register & tell us about yourself!

Please use the form below to register for the program and tell us a little about yourself - this will help us prepare for the program, get to know you and ensure that we can get you set up with the learning management system.

If you have any questions, please reach out to us at: primarycare@praxushealth.ca
1.First name and last name
2.Email address
3.What is your current role and what organization do you work with (if applicable)?
4.In what capacity do you directly work with clinic/practice teams?
5.Which city/town and province are you located in?
6.What are your main learning goals for this course?
7.Do you have any specific areas or topics in this program you are particularly interested in exploring?
8.How did you hear about the Collaborative?
9.Do you have any other questions about the program that we could assist you with?
Thank you for completing this short survey and we look forward to seeing you soon at the program!

If any additional questions come up, please reach out to: primarycare@praxushealth.ca