CFPC Exam Orientation Workshop – Waitlist

Waitlist for CFPC Exam Orientation Workshop

If you are interested in being added to our CFPC Exam Orientation Workshop waitlist, please complete the form below. By adding yourself to the waitlist you agree to be contacted via email and/or phone when registration opens. Please email ocfpcme@ocfp.on.ca if you have any further questions.

X/Twitter

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Mobile phone (we’ll only contact you if necessary, regarding this course)(Required)

Province(Required)

OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutPrince Edward IslandQuebecSaskatchewanYukon

Postal Code

Region (if you are of outside Ontario, select “other”)

West Region (ESC, SW, WW, HNHB)Central Region (MH, CW, C, NSM)Toronto Region (TC)East Region (SE, CE, CH)North East Region (NE)North West Region (NW)Other

Practice Model(Required)

Community Health Centre (CHC)Comprehensive Care Model (CCM)Family Health Groups (FHG)Family Health Network (FHN)Family Health Organization (FHO)Family Health Team - Family Health Network (FHT-FHN)Family Health Team - Family Health Organization (FHT- FHO)Fee For Service (FFS)GP Focused PracticeRural Northern Physician Group Agreement (RNPGA)Not applicableOther (please specify)

Specify Practice Model(Required)

Clinical Interest (optional)

Do you wish to receive updates from the OCFP?

YesNo

How did you hear about this workshop?

Social MediaOCFP WebsiteCFPCWord of MouthOther