Use this service to apply to become a client at the Centre de Santé Constellation Health Centre (CSCHC). If you have questions or need support filling in this form, call the clinic at 867-393-7119 or email [email protected].
A team of professionals will review and prioritize applications. Acceptance or waitlist status will depend on several factors and the current capacity of the primary care providers. This approach will ensure a fair and balanced client onboarding. If you are not initially accepted, you will be added to the waitlist. You will be notified when space becomes available.
Before you start
You must
• have a valid Yukon Health Care Insurance Plan (YHCIP) number;
• be 16 years old or older.
For families where more than one person wants to apply to the CSCHC, you can include your spouse and/or depedents in the same application as long as they live at the same address.
Other ways to submit an application
If you prefer a printable version of this application, you can download one here.
A note about privacy
Information contained in this form is collected, used and disclosed in accordance with Yukon’s Health Information Privacy and Management Act and other applicable laws. A written statement of Health and Social Services information practices can viewed at www.yukon.ca/healthprivacy or by contacting the department’s Privacy Officer at [email protected].
