The information you provide in this form will be used in accordance with the TELUS Health Care Centres Privacy Commitment.
We will use means to limit access to the information you submit, however team members outside of the clinic and service providers may have access to this information. In limited circumstances, we may rely on our service provider for technical support, where data may be incidentally accessed from the United States.
We analyze Personal Information in our systems to better understand use of our Services and what care programs or Services to provide. Where practicable, we use de-identified or aggregated information for these purposes. For example, we may use your postal code and aggregate it with all other TELUS Health Care Centre patient postal codes to determine the best location to open a new physical clinic.
Please do not include details regarding your health status.