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Useful forms

MEMBERSHIP, APPLICATION & REGISTRATION FORMS

Membership renewal/registration form for 2018-2019
File succession plan form (required part of initial membership application)
Student member application form for 2018-2019


Nomination for for Honourary Life Membership



MEMBER QUALIFYING EXAMINATION APPLICATION FORMS
January 26/27, 2019 

June 21-24, 2019    Application form available here.
August 24/25, 2019    



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
Application for extension to current Con-Ed window
Con-Ed Windows & Credit Requirements 
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)

 

 

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