Zoom for Healthcare Enrollment

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Available to community-based health-care providers and those working in mental health and addictions. If you need assistance completing this form please email VirtualCare@ihis.org.

Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, Cap. F-15.01, as it relates directly to and is necessary for the provision of COVID-19 Zoom Licenses. If you have any questions about this collection of personal information, you may contact Jennifer Lonaphy at 902-367-4637.


Provide Health Care Provider name and contact details.

For example C1B 0X1 or 12345
For example 902-555-5555