Congratulations on the modernization of this document. I would like to request further clarification of the cross border care standard item 1. As it reads it is a bit unclear what the implications are, for example, if a patient I have a prior therapeutic relationship with is temporarily located outside Alberta. If they are a resident of Alberta I am a bit unclear what the issue would be even if they happen to be for example "wintering" in California. Further clarification would be helpful to the provider.