Physician Commendations - College of Physicians & Surgeons of Alberta

About you

Your name*

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Your email*

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About your physician & experience

Physician's name

Please use CPSA's Physician Directory (search.cpsa.ca) to ensure the correct spelling of your physician's name.

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Where did you see this physician?

What is the phone number of the facility where you saw this physician?

In what city/town did you see this physician?

Tell us about your positive experience*

Please only include information relevant to your experience with this physician or physician assistant. CPSA reserves the right to edit commendations to remove private information or information not related to the physician you are commending.

Do we have your consent to share this commendation with your physician?

We will not disclose who the commendation came from, just the positive experience you shared on this form.

Yes, CPSA may share this with the physician

Phone

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About you

About your physician & experience

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