Hospital Designation Sign Up - Choosing Wisely Canada

Become a Choosing Wisely Canada Hospital

Fill in this quick form to give us some information about your interest in becoming a Choosing Wisely Canada Hospital.

Organization Name

Site(s) Participating

Province

Contact Name

First Last

Contact Role

Email

Clinician Lead Name

First Last

Clinician Lead Role

Type of Hospital

Status Interested in Applying For

Quality Improvement Status

Leadership Status

QI projects to be undertaken (optional)