To participate in the osteoporosis program, you need a reliable internet connection and a device that can run Zoom, with working audio and a movable camera.

If you are missing any of the above, you can contact us to discuss in-person options.

Personal and contact information
Your health
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Your activity level
Your interest in the osteoporosis program

At the conclusion of the course, a summary of the course/discharge summary is usually sent to your family physician or other referring physician, for your medical file. If you have any questions please talk to the course instructor.

Do you consent to sharing of a treatment summary/discharge summary with your family and/or referring physician? This information would be sent to your doctor at the completion of the course.

Collection of personal information – notification statement:
The personal information requested on this form is collected under the authority of Section 4(c) of the Alberta Protection of Privacy Act (POPA) and will only be used for the purpose of tracking, follow up and communications regarding your request. For information about the collection and use of this information, contact the Covenant Health Information and Privacy Office at One Twelve Campus, 10130 112 Street NW, Edmonton, AB, T5K 2K4, Tel. 1.866.254.8181.