Community request

Are you a community organization looking to collaborate with the Edmonton Southside Primary Care Network?

Please fill out this form to request the involvement of ESPCN in a community activity, such as an information booth, presentation, research opportunity, professional development, endorsement, collaboration project or resource information.

We cannot guarantee that we will be able to fulfill your request. We will need to evaluate the required resources to participate, availability and appropriateness.

(First & last name)
Topic of activity
Choose any.
MM slash DD slash YYYY
Event start time (if known)