Request a Primary Healthcare Panel Report

Join the more than 2,000 physicians in Alberta who receive their HQCA Primary Healthcare Panel Report annually.

To receive a physician panel report:

  1. Complete the request below.
  2. For delegates, in addition to filling out the request below, obtain the physician’s signature on a Delegate Access Form.
The latest report will be available early April 2023. It takes approximately two weeks, after a request, to receive a panel report.

Need more information about how to request your Primary Healthcare Panel Report? Download this guide.

For questions, contact Trent at primaryhealthcarereports@hqca.ca. or 403-521-7118.

The fields below must be completed by the requesting physician(s) or with physician permission.

REQUESTER

I'm a...

Note: A minimum of two physicians are required to produce this report, because it is an aggregate of results. The clinic representative will receive an aggregate report and each individual participating physician will receive their own physician report, with the ability to compare their results to their PCN and AHS Zone.

Physician Information

*Prac ID: 08

You will not need to re-request your CPL report moving forward.

Delegates (Up to 3)

This individual will be given access to your Primary Healthcare Panel Report. Delegate access permissions must be renewed on an annual basis.

Delegate 1:
Delegate 2:
Delegate 3:

Questions?

Email primaryhealthcarereports@hqca.ca or call 403.521.7101

Clinic-level Report Recipient

The clinic-level report recipient is the primary contact for the clinic. As this person, you are authorized to request and receive the clinic report on behalf of the clinic physicians. By requesting a clinic report, you confirm that all of the physicians listed below have agreed to participate in the clinic report. If you are also one of the clinic physicians, please include your information in the ‘Physicians to include in the clinic report’ section below.

I am a physician:
*Prac ID: 08

PHYSICIANS TO INCLUDE IN YOUR REQUEST (UP TO 20)

A minimum of two physicians are required to produce this report.

Physician #1

*Prac ID: 08

Physician #2

*Prac ID: 08
Add New Physician

Delegates (Up to 3)

This individual will be given access to your Primary Healthcare Panel Report. Delegate access permissions must be renewed on an annual basis.

Delegate 1:
Delegate 2:
Delegate 3:

Questions?

Email primaryhealthcarereports@hqca.ca or call 403.521.7101

Clinic Name

Delegate/Designate Information

*IMA

Delegate/Designate Information

PHYSICIANS TO INCLUDE IN YOUR REQUEST (UP TO 20)

A minimum of two physicians are required to produce this report.

Physician #1

*Prac ID: 08

Physician #2

*Prac ID: 08
Add New Physician

PHYSICIANS TO INCLUDE IN YOUR REQUEST (UP TO 20)

A minimum of two physicians are required to produce this report.

Physician #1

*Prac ID: 08

Physician #2

*Prac ID: 08
Add New Physician

Delegates (Up to 3)

This individual will be given access to your Primary Healthcare Panel Report. Delegate access permissions must be renewed on an annual basis.

Delegate 1:
Delegate 2:
Delegate 3:

Questions?

Email primaryhealthcarereports@hqca.ca or call 403.521.7101