Useful Forms

MEMBERSHIP, APPLICATION & REGISTRATION FORMS

Membership renewal/registration form for 2019-2020
File succession plan form (required part of initial membership application)
Student member application form for 2019-2020
Nomination for for Honourary Life Membership

MEMBER QUALIFYING EXAMINATION APPLICATION FORMS

January 25/26, 2020 - form coming soon.
June 12-14, 2020
August 29/30, 2020 

CON-ED CREDIT APPLICATION FORMS

Con-Ed Group Study Participation Form
Con-Ed Literature Review Form
Con-Ed Mentoring Form
Con-Ed Self-Directed Study Form
Con-Ed Case Study Form
Course Provider Application Form 
Member Credit Course Application Form

MEMBER CON-ED INFORMATION

Request for extension to current Con-Ed window - will be available in 2021 when the current con-ed window is due to close.
Con-Ed Handbook

PATIENT CONSENT AND HISTORY FORMS

Consent Form
Patient Health History
SGI Absentee Recording Form
Standardized Receipt Template

AGM FORMS

AGM Proxy Form
Board of Directors Nomination Form
AGM Motion Form

 

DISCIPLINE/COMPLAINTS FORMS

Application to start formal complaint

 

OTHER USEFUL FORMS:

Dusyk & Barlow Member Accident Insurance Plan
Brochure for D & B Accident Insurance

Dusyk & Barlow Liability and Malpractice Insurance Application (Lackner policy)