Patient Attachment Waitlist Registry

Please click on this link to be redirected to the NEW Waitlist.

In order to register, you must:
1. Be a resident of Coquitlam, Port Coquitlam, Port Moody, Anmore, Belcarra, or New Westminster.
2. Not already be attached to a Family Doctor or Nurse Practitioner in your community.
3. Have active or pending MSP coverage (please call Medical Services Plan at 1-800-663-7100 if you do not know the answer to this).

NOTE:
- Register each family member separately
- If you experience technical difficulties with the online registration, you may call 604-549-8824 to register instead

Privacy statement:
The personal information you provide to our program will be used for the purpose of finding you a Family Doctor or Nurse Practitioner and in compliance with the BC Personal Information Act, which is subject to the independent oversight of the British Columbia Information and Privacy Commissioner (https://www.oipc.bc.ca/). By completing this registration, you consent/authorize the Fraser Northwest Division of Family Practice to provide your personal information included on this form to the Ministry of Health for inclusion in the Health Connect Registry (provincial wait-list) once it becomes available.