eReferral Primary Care Clinic Onboarding Form

Before you Continue

This form requests Onboarding Services for a clinic that is not currently using Ocean.

If you are looking for Technical Support, need help onboarding a single user to an existing Ocean site, Training, or have any other inquiries regarding Ocean, please use the

General Inquiries & Technical Support Form: (https://www.referralsns.ca/ask)

Date*

Submitter Name*

Clinic Name*

Clinic Administrator/Contact Name*

Clinic Administrator/Contact Email*

Clinic Administrator/Contact Phone*

What is Your Practice Type*

Select or enter value

Which EMR do you currently use?*

Select or enter value

Send me a copy of my responses