Get Canada College Of Family Physicians Application Form For Recognition Of Training And Certification 2010-2025

This guide provides clear and comprehensive instructions for filling out the Canada College Of Family Physicians Application Form For Recognition Of Training And Certification online. By following these steps, users can ensure they complete their application accurately and efficiently.

Follow the steps to complete your application form successfully.

1. Click the ‘Get Form’ button to obtain the application form and open it in your preferred editor.
2. Enter your PCRC ID number and CFPC membership number in the designated fields. These identifiers are essential for processing your application.
3. Provide your contact information, including family name, given names, date of birth, gender, and full address (apt. no. or PO box, street number and name, city, province, postal code, country). Also include your office telephone, home telephone or cell number, email, and fax number.
4. In the primary medical qualification section, specify the institution where you obtained your medical degree. If it is from outside Canada, remember to submit the credential for source verification. Include the university or medical school name, city, country, degree obtained, and graduation date.
5. In the accredited family medicine residency training program section, indicate where you completed your residency training. You must also submit this credential for source verification. State the accrediting body (ACGME, RACGP, ICGP), university or medical school name, city, country, degree obtained, and graduation date.
6. Provide details regarding your certification in family medicine. Based on your background, specify if you are a diplomate of ABFM, Fellow of RACGP, or Member of ICGP and attach the required documentation for source verification.
7. Complete the Canadian licensing information section by indicating whether you currently hold a license to practice in Canada.
8. In the declaration section, affirm that you are the true holder of the credentials provided. Make sure to sign and date this section.
9. Fill out the maintenance of certification section, agreeing to meet the ongoing membership requirements. Sign and date this section as well.
10. Complete the release and waiver section by printing your name and signing to confirm that the information provided is accurate. A witness signature is also required.
11. Finally, once you have filled out all sections carefully, you can save changes, download the completed form, print it, or share it as necessary.

Get started on your application today and ensure you complete your documents online for prompt processing.