Provisional (Family Practice-Limited) Class Registration - Additional Documents

Some applications may not allow you to fill in the forms electronically.  Please save the form to your computer before completing.

• Documentation Checklist
• List of Referees
• Undertaking Respecting Criminal Record Check and Child & Adult Abuse Registry Checks
• MINC Consent Release Form
• Undertaking - Physiciansapply
  • Note: only required if any training was taken outside Canada or the U.S.
• Consent to Release Information
• Certification of Medical School (Graduates of Canadian and U.S. Medical Schools)
  • Note:  only required for graduates of Canadian or U.S. Medical Schools
• Notice to Applicants
• Authorization for Payment of Balance of Documentation Fee