Urban Locum Program, Greater Victoria Pilot
Feedback Form

The Urban Locum Program, Greater Victoria Pilot is funded by the BC Ministry of Health, with administration by the Victoria Division of Family Practice and oversight and evaluation provided by FPSC.

We value your input and encourage any questions or feedback as we continue to develop and expand this pilot program. Your feedback will be thoughtfully considered by our committees to enhance our processes and contribute to conversations regarding potential provincial expansion.

For more program information, please see our website, FAQ and process visuals here.

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* Please share your feedback below. Note that all feedback will be kept confidential and names and contacts will not be shared.

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* If you require follow-up on your feedback, please enter your contact information below.

Name

Email Address

Phone Number

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Host physician

Locum physician

MOA

ULP Mentor

Community Member

Anonymous

Urban Locum Program, Greater Victoria Pilot Feedback Form

Question Title

* Please share your feedback below. Note that all feedback will be kept confidential and names and contacts will not be shared.

Question Title

* If you require follow-up on your feedback, please enter your contact information below.

Question Title

* Please indicate your relationship to the program

Urban Locum Program, Greater Victoria Pilot
Feedback Form