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Whistler 360 Health Collaborative Patient Registry
Whistler 360 Health Collaborative is working to improve patient’s access to care in our community. If you or a member of your family are currently without a local primary care physician or nurse practitioner, please take a moment and register that status here. You will see a confirmation on the screen once you have completed this. Please complete this for each family member who needs a primary care provider.

Please do not contact us about this registry. We will contact you once there is a new primary care provider available for you.
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First Name *
Last Name 
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Age
Address  *
Email 
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Phone number  *
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