Clone of WRPA Active - Virtual Healthcare Program

MembersHealth is proud to partner with [union name] to provide eligible members with access to our Virtual Health and Virtual Healthcare Programs. This exclusive offering is available as part of your [union name] membership, giving you convenient, trusted access to virtual care and personalized health services. Please complete the form below to enrollment.

Name*

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Date of Birth*

Date

Primary Phone Number:*

Format: (000) 000-0000.

Secondary Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

E-mail*

example@example.com

Address*

Address

Street Address Line 2

CityProvince

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My Products*

Virtual Healthcare Treatment Annual Premium

Virtual Healthcare Program provides full clinical care with ongoing coordination and follow-up. Designed for members who want confidence, continuity, and fast access to medical professionals—without navigating the system alone.

$60.00CAD

Enter coupon

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Payment Details
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