Indicates required field Please complete the form below to help us connect you with the appropriate Practice Support Program service. Contact details First name Last name Email address MSP number Profession - Select -Family physicanSpecialistNurse practitionerResidentOther Other Profession Clinic name Clinic address EMR - Select -AccuroAryaAvaCHRJunoMed AccessMOISMYLEOSCAR - Open OSPOSCAR - Well HealthOSCAR - OtherProfilePaper ChartsDon’t know/NAOther Other EMR How can we help? Choose one or more service categories Health technology Enhance your use of health technologies (EMR optimization and reporting, AI scribe, online booking) Provincial Attachment System (PAS) Support submitting an empanelled patient list or reconciling EMR/PAS patient lists Practice management Optimize your clinic workflows Panel management Manage your patient panel more effectively Team-based care Develop high performing primary care teams Group learning opportunities Learn about upcoming practice management learning opportunities Peer mentoring Receive one-to-one support from family physician and medical office assistant (MOA) mentors Patient Experience Tool Understand your patients’ care experience New to practice/Physician group contract Support with quality improvement projects related to a new contract FTE Full time equivalent e.g. 1.0, .75, .5 Dates Start date End date Brief description of support requested Please share more details about the support you’d like to receive or any practice details you think would be helpful.