Quipo Lite

BC Health Card Number (PHN)* Last Name*

First Name* Last Name* Date of birth(YYYY-MM-DD)*

Phone*

Email
*(Please provide your email if you would like to receive an appointment confirmation and the link to modify and cancel online.)

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To continue your appointment booking please login into Quipo.

Dear Patient,

You have an invoice that needs to be settled prior to booking an appointment. If you believe to have recieved this in error, please visit us in person to review.

For privacy reasons, details of your invoice can be found on your Quipo account or can be provided in person.
Otherwise you will receive a generic medical health services rendered receipt via email after making payment.

Reason

Chief Concern*

Appointment Type

Clinic Location

First Available Doctors

Book Appointment with Available Dates(YYYY-MM-DD)*

Available Slots*

Invoice Details