AVA Request – Existing Patient Patient's First Name *Patient's Last Name *Phone Number – Note that appointment reminders will be sent to this number. Cell numbers preferred. *Birthday *Alberta Health Insurance # *Please indicate who your existing Primary Care Provider is. *Dr. Akin OsakuadeDr. Regina EjikeDr. Kanwar PannuDr. Nathanael WuDr. Esther OsuntuyiDr. Ikenna Chima EzeiloEmail Address (Please note that due to privacy rules, all adults and children over 14 require a separate email address) *I understandPlease check if you understand that you will have 36 hours to accept your Ava Connect invitation once it has been sent. Submit
