Rural Practice Programs Secure Upload Tool

Please use this form to securely send documents to Rural Programs. Ensure that you include appropriate information below so that we may follow up if necessary.

Any questions about this form, or for correspondence without attachments, please email at HLTH.Ruralprograms@gov.bc.ca.

NOTE: Please contact Locums for Rural BC to submit Rural Locum requests for RFPLP, RFPALP, RESSO and RSLP.

To submit a completed, authorized application form:

Print/scan the completed application and save a digital copy to your computer
Complete all contact information fields below
Click "Browse" and locate the scanned form on your computer.
Submit form

** NEW – PROGRAM CHANGES EFFECTIVE APRIL 1, 2024 **

90-day Claim Submission Requirement

Effective April 1, 2024 physicians working under the Rural Programs, including, NITAOP and MAiDTTAP, are required to submit their Application for Expense Forms within 90-days of the date they arrived home after their assignment. Failure to submit within 90-days forfeits the Travel Time Honorarium.

Physician NameMissing or incorrect value

Contact NameIf different from physician

Contact Email AddressMissing or incorrect valueuser@domain.ca

Contact Phone Number Missing or incorrect value

First Date of Travel

Missing or incorrect value

Last Day Worked

Missing or incorrect value

Community NameMissing or incorrect value

Message

Attach completed form

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Missing or incorrect value75MB limit, PDF files only

HLTH 8119 2024/04/22

Rural Programs Secure Upload Tool

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