2020COVIDCOUNSELLING

If you are concerned or feeling anxious about Novel Coronavirus (COVID-19), and would like to speak with someone, please enter your information below and we will have someone contact you. Please be patient as call back time will be dependent on volume of requests.

Please note that this is not a medical service.

This service is for Burnaby residents or patients of Burnaby family physicians and nurse practitioners.

I understand and agree that my personal information will be collected, used and disclosed to the Burnaby Primary Care Network, which consists of employees and agents of Fraser Health Authority and Burnaby Division of Family Practice, for the purposes of providing patient care.

	Yes
	No

First Name

Last Name

Phone Number