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Start Your Care Journey

Nursing services are available to residents of British Columbia. A BC resident is someone who primarily lives in British Columbia, even if temporarily outside the province. Services are provided in accordance with BCCNM standards of practice.

Please complete this short form so we can better understand your situation before connecting with you.

Personal Info

Preferred method of contact:
Who are you seeking support for?

What is the main concern right now?

Please choose all that applies
What type of support are you looking for?
Where is care needed?
How urgent is the situation?

Current Support

What services are already in place?

You may upload relevant documents or photos to help our nursing team better understand the situation prior to the consultation. Please note that information provided through uploaded files does not replace a formal nursing assessment and recommendations can only be made after proper evaluation.

Consent

I understand this form is for inquiry purposes only and does not establish a nurse-client relationship until services are formally arranged.
I give consent
I do not give my consent
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