Temporary Provider Transfer Simple steps to continue your child’s care while your pediatrician is away. Temporary Primary Care Transfer RequestYou’ve selected the following pediatrician:Your Contact InfoParent's Name* First Name Last Name Parent/guardian email address on file*This should match the email in your child’s Kidcrew patient profile. Your Child's InfoChild's Name* First name Last Name Child’s Date of Birth:*Health Card Number and Version Code*Helps us prepare, but you can leave this blank if needed.(Optional) Additional NotesAnything else you'd like us to know?Confirm Your RequestPlease Double-Check All Info Above (spelling, etc.)*Please double check all your info, this saves time and will speed up the registration process. YES, I Double Checked IMPORTANT: Please wait for the confirmation message before closing this window.CAPTCHA
