Certificate of Professional Conduct
By-Law #1, Article 20 prescribes the form of certificate of professional conduct issued by this College. For your information, click on the link below to see a sample form of the certificate used by the College and a copy of Article 20 of By-Law #1. You will see that Article 20(b) provides that the Registrar shall only issue the certificate upon receipt of the written consent of the member and payment of the fee for issuance of the certificate.
Click on the link below to access a copy of the consent form which we require in order to issue the certificate. Once we receive the duly executed consent and payment of the $52.50 fee by fax or email, we will issue the certificate as requested. (Original documents not required.)
Please note: It usually takes 10 working days for a Certificate of Professional Conduct to be mailed to the licensing authority. There is an additional $5.25 faxing fee if you would like the certificate faxed. The Colleges of Physicians & Surgeons of British Columbia, Alberta and Nova Scotia are exempt from the faxing fee.
Payment made by cheque or money order should be mailed to:College of Physicians & Surgeons of Manitoba1000 - 1661 Portage AvenueWinnipeg MB R3J 3T7
By-Law 1, Article 20
Certificate of Professional Conduct Sample Form
Consent Form
Credit Card Authorization Form
