Physician Extender Application Form

Before starting this form, make sure you have the following documents:

Completed and witnessed Registration Understanding Acknowledgment
Copy of your LMCC certification (wallet card or wall certificate)

CPSA acknowledges we are on traditional lands of First Nations and Métis people. Through our work, we strive to respect, honour and celebrate the histories, languages and cultures of First Nations, Métis, Inuit and all First Peoples of Canada.