The information gathered on this form will be visible to the public and other healthcare professionals across Canada on the KyleenaandMirena.ca website. Please note, that the license number is only captured for the purposes of validation to confirm an active status within the province, and this will not be available to the public on the KyleenaandMirena.ca website.
If you insert at more than one practice location, you will need to complete the form for each location. Home addresses and PO boxes are not accepted, you must enter a valid street address. It can take up to 2 weeks for your information to be visible on the KyleenaandMirena.ca website.
To update your information or remove yourself from the program, you will need to contact the HEALTH LOYALTY Customer Service team at 1-800-839-3353 or via email at BayerIUS@health-loyalty.com. It can take up to 2 weeks for the change to be visible on the KyleenaandMirena.ca website.
