Thank you for your interest in becoming a patient of Dr. Kelli Gustafsson and Dr. Yas Khorami at R·MEDY Health & Wellness.
This short form takes about 10 minutes. It helps the physicians understand your care needs and confirm that the practice can support you well.
Registering does not guarantee acceptance into the practice. Please do not use this form for urgent medical concerns. If you need care now, contact your current provider, call 8-1-1, visit an urgent and primary care centre, or call 9-1-1 in an emergency.
The information you provide is collected by R·MEDY Health & Wellness to assess your request to become a patient of the family medicine practice, in accordance with British Columbia’s Personal Information Protection Act. It is stored securely, accessed only by the physicians and intake staff, and is never used for marketing. You may ask what information we hold about you, request corrections, or withdraw your request at any time. Privacy questions: privacy@rmedymd.com.
Your registration has been received.
Your reference number
The physicians will review your information and the clinic will contact you using your preferred method. Please remember that registering does not guarantee acceptance into the practice.
A confirmation email is on its way. For your privacy, it does not repeat any of the health information you provided.
This form is not monitored for urgent medical concerns. If you need medical attention now, contact your current provider, call 8-1-1 for HealthLink BC, visit an urgent and primary care centre, or call 9-1-1 in an emergency.