Member Contact Update Form

To update your information with HSA, please complete the following form.

E-mail listserves are for HSA members only. Employer domain e-mails will not be subscribed as HSA does not conduct union communication over employer e-mail. Please register with your personal e-mail address.

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Surname *

Given Name(s) *

Street Address *

Enter your Street Address, e.g. 3-3051 1st Ave West

City *

Enter your City, e.g. Vancouver

Province/Territory *

Choose your Province or Territory

Postal Code *

Personal Phone Number *

Enter your Personal Phone Number, e.g. 604-111-1111

Home Email Address (employer e-mail addresses will not be added to the email list) *

Enter your Home E-mail Address

Worksite *

Enter your worksite name

Job title *

Enter your job title.

Date of Birth *

Enter your Date of Birth (DDMMYY), e.g. 230476. No, we don’t care about your age and unfortunately we have no current plans to celebrate your birthday, but we need your date of birth to be sure we don’t confuse you with one of the 18,000 HSA members who might share your name. All records are confidential and secure. If you’d like to know more about HSA’s privacy policy, click here.

The union delivering modern health care

Health Sciences Association

The union delivering modern health care

Member Contact Update Form