Health Care Membership Application


This is the membership application for Health Care Organisations (health authorities, hospitals, and other health care facilities). If you are applying as an individual or on behalf of another type of organisation, please go back and select the appropriate application.

If you have any difficulty completing the form or any questions about the membership application process, please contact coalition@greenhealthcare.ca

New Membership
 
Total Amount
On Behalf Of Health Care Organisation
Number of persons employed (head counts), and number of full-time equivalent (FTE) persons employed in general and specialty hospitals. Self-employed are included.
Number of separate hospital and other care sites.
Health Care Details
Please enter a Username to create an account. If you already have an account please login before completing this form.
Primary Contact