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Locum in the Pacific Northwest Division of Family Practice
PNW LOCUM NETWORK
By completing the survey below, you will be added to the PNW Locum Network contact list of locum providers for the Pacific Northwest Division of Family Practice.
OK
1.
Please provide your contact information
Name
City/Town
Email Address
Phone Number
2.
Are you currently registered with the College of Physicians and Surgeons of BC?
Yes
No
Comments
3.
When would you like to provide coverage (dates available)?
4.
Which communities in the pacific northwest are you interested in providing locum coverage? Please select all applicable:
Masset
Queen Charlotte
Prince Rupert
Stewart
Gitlaxt'aamiks
Dease Lake
Atlin
Terrace
Kitimat
Smithers
Houston
Other (please specify)
5.
Thank you for joining the PNW Locum Network and for sharing your information and availability. We will be in touch with you shortly. If you have any additional comments, please enter these below:
Current Progress,
0 of 5 answered
