New Medical Doctor Sign-up

By creating a Guest Account, you will be able to login to view all your event/course registrations and certificates of attendance.






Contact Information








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Profile Information

Birth Date

Professional Credentials (choose all that apply)
 BA  
 BHSc(N)  
 BN  
 BSW  
 BSc  
 BScN  
 DVM  
 LLB  
 LPN  
 MA  
 MBA  
 MBBS  
 MBChB  
 M.Mgt  
 MD  
 MEd  
 MHSc  
 MLT  
 MN  
 MSW  
 MSc  
 ND  
 PhD  
 RD  
 RN  
 RNC  
 RPN  
 RSW  
 RT  




If you wish to join a Special Interest Group (SIG) identify your SIG(s)
 Administrative  
 Andrology  
 ART Lab  
 Counsellors  
 Ethics and Law  
 Fertility Preservation  
 Genetics  
 Imaging  
 Nurses  
 Scientists in Reproductive Endocrinology  


Social Media

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Employment Information

Note: This information is confidential and will not be visible on your member profile. Only you will be able to see this information.




Are you currently being charged with a criminal offence?
 Y    N

Have you been a Director or an Executive of an organization that has been criminally charged?
 Y    N

Are you governed by a College or other regulating body?
 Y    N

If so, have you ever been the subject of a disciplinary investigation by such body?
 Y    N

Have you ever had a certification of qualification or license to perform your professional activities in any province, or country suspended, revoked, restricted, curtailed or voluntarily surrendered under threat of suspension or revocation?
 Y    N

Have you ever had professional privileges at any health care facility revoked, suspended, curtailed, limited or restricted, or voluntarily surrendered under threat of suspension or revocation?
 Y    N

Have you ever been denied a certificate of qualification or license to practice your profession in any province or has your application for a certificate of qualification or license ever been withdrawn under threat of denial?
 Y    N

Privacy Information

Who can view your profile?
 members only    administrators only

Do you want to display your email on your profile?
 Y    N