New Member Application | Doctors of BC

Resident physician/Fellow

Student/International Medical Graduate clinical trainee

Date of birth

YYYY-MM-DD

College of Physicians and Surgeons ID (CPSID)

5 digits

MSP billing number

5 digits

Medical Identification Number for Canada (MINC)

CAMD-

Canadian Medical Protective Association number (CMPA)

Certificate

Include a copy of your incorporation certificate if not previously provided. PDF files only.

Student

Currently enrolled in a medical school program.

International Medical Graduate clinical trainee

You must hold a valid clinical trainee licence from the CPSBC to qualify (e.g., an International Medical Graduate on a clinical trainee licence).

Medical training institution name

Medical training institution

Current Year of Training

Confirmation

As a member of the College of Physicians and Surgeons of British Columbia, I hereby apply for membership in Doctors of BC, and agree to abide by the Bylaws, Rules, and Regulations of the Association. I will pay online by direct debit or credit card. (Instructions will be emailed once application is processed.)

Confirmation

I hereby apply for membership with Doctors of BC and agree to abide by the Bylaws, Rules, and Regulations of the Association.