External Certificate Form

Please use this webform if you are a Medical Regulatory Authority submitting a Certificate of Professional Conduct. Make sure documents are NOT password protected.

Provincial Regulatory College(Required)

Please provide your Provincial Regulatory College(Required)

Applicant's Name(Required)

Given name Last Name

Do you have the CPSA OATS (Online Application Tracking System) number for this applicant?(Required)

Yes

OATS number(Required)

Do you have the CPSA registration number for this applicant?(Required)

Yes

Registration number(Required)

Please upload the required certificate. If you have multiple documents, please upload them as one single file. Make sure it is not password protected.(Required)

Accepted file types: jpg, gif, png, pdf, Max. file size: 128 MB.

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Admin Fields

For CPSA use only

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Quest Library(Required)

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