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Thank you for your interest in Medinet Access to PharmaNet. Please complete the form below and we will contact you to gather a little more information. Then we will manage the MOH application process for you.

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Practice Details

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Postal code

Telephone

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Personal Details

Last name

First name

Middle name

College

College of Physicians and Surgeons College of Pharmacists College of Registered Nurses

College ID

MSP number

Practitioner's Personal Email

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Practitioner's Mobile #

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I want my legal notices sent to a different address

Home or Office address

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I work at another location

Practice 2 Details

Practice name

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Postal code

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Fax

Delete this practice

I work at another location

Practice 3 Details

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You can reach Medinet in Vancouver at 604 737-1477, toll free at 1 800 737-3771, or send us an email message.