Need a Doctor/Medical Centre for your community?

Field marked with * are mandatory.

* First Name

Last Name

* Street Address

* City or Town

* Postal Code

* Phone # 1

Phone # 2

Fax #

* Email Contact

Community Needing a New Clinic



Please describe the current physician / clinic resources in the above community


Do you know of any incentives such as use of existing clinic space, subsidized physician housing, etc in the above community ? If yes please describe


What type of clinical services does the above community require?



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