AJPO - Virtual Healthcare Program

MembersHealth is proud to partner with AJPO to offer eligible members access to the Virtual Healthcare Program. Complete the form below to enrol in virtual healthcare, with trusted medical care, ongoing coordination, and follow-up.
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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

Postal Code

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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.

$119.40 CAD

Enter coupon

Subtotal

Tax

Total

Payment Methods
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

My Products*

My Products