Step 2: Register to access the member resources

This form is only to be completed after you have applied to be a Project ECHO Ontario Skin and Wound Care Spoke organization. If you have not applied, please complete the application form before proceeding.

Once you have been notified that your application has been accepted and finalized, please self-register to access the member area of this website. Registrations are not active until they have been approved by the administrator.

If you have any questions please contact:
Reneeka Jaimangal, Clinical Coordinator
reneekaj@echowound.com
289-232-0075

Please complete the following form

  • Your username (cannot be changed). Note that you can log in with your username or email.
  • This email will be used to contact you and will also be shared with other registered Hub members. If you don't want to publish your email in the Member Area, please leave it blank and fill in the Secondary Email below. The Secondary Email will not be published.
  • Type your password. Minimum length of 6 characters.
  • Type your password again.
  • Spoke Information

  • Please provide your organizational, departmental, or project website. Leave blank if you don't have a website.
  • Member Information

  • Ms, Mr, Dr, etc.
  • This email is used for administration purposes only. It will not be shared.
  • Required phone number format: (###) ###-####
    This is visible to other members as your phone number. Leave this blank if you don't wish to be contacted by other members.
  • This is a profile that is visible to other members. Leave this blank if you don't want to share a little biographical information about yourself.
  • Service Environment

  • What setting do you work in? For example Long-Term Care, Community Health Centre, Fee for Service Clinic, etc.
  • How many people are in your team?
  • Are you based in northern Ontario?
  • Do you serve a rural community?
  • Do you serve a remote community?
  • Is your skin and wound care team in place or forming?
  • Is caring for Indigenous Peoples a primary area of focus?
  • Is caring for vulnerable people a primary area of focus?