Before you make a request

The Physician Health Program believes that all physicians should establish a long-term, trusting relationship with a family physician (FP). But as we all know, FPs are in short supply. That's why it's important that you make this request for attachment only when you are ready to see it through to an actual appointment with a FP. If we succeed in matching you to a FP, but you do not attend an appointment with that person within three weeks of receiving notice of the match, your relationship is not established. Here's what we will do in that case:

1. We will send you a notice saying that the match has been withdrawn. This allows the accepting FP to serve another physician-patient.
2. We will ask you to wait six months before offering the matching service to you again.

Please also note that this service is available to physicians and trainees only, and not to their family members. However, once you as a physician or trainee have established a relationship with your FP, you can ask about the possibility of accepting your family members as patients.

Finally, be advised that in certain cases the Physician Health Program partners with local Divisions of Family Practice who perform the task of matching FPs to physician-patients. Only your gender, year of birth and any reasons for the urgency of your request are transmitted to the partner organization. Your name and other identifying information are not transmitted. However, your name and other identifying information will be provided to any FP who indicates a willingness to accept you as a patient.

To make a request for attachment to a FP:

1. Complete the form below.
2. You will receive an email response confirming that your request has been received.
3. After a period of time you will receive another email from us indicating that a FP is available to see you. The message will contain instructions about how to contact your new FP to book a first appointment. (If we have not succeeded in matching you within two months, or after three unsuccessful requests, we will notify you that we could not identify a match.)
4. Book your first appointment with your new FP as soon as possible, but not more than three weeks from receiving the notice. Your relationship with the FP is not confirmed until you book and attend a first appointment.
5. Confirm with us that you have seen your new FP, and that your relationship is established. If we have not received a confirmation from you within three weeks of notifying you of the match, the match will be withdrawn. You may request another match after six months.

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