Active Member – First 3 Years in Practice

Active membership is open to all Canadian physicians, licenced by any body, who support the Mission and Goals of the Canadian Society of Palliative Care Physicians.
Active members are entitled to attend any meeting of the Society, to vote at any meeting of the Society, and to hold any office.
Active Membership normally costs $298.70/yr but the fee is reduced to $180.25 for those who are in their first 3 years of practice.
Active members CAN VOTE

You will be billed yearly

Price:

$180.25 billed each year (first 3 years in practice)

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Organization: Organization is not valid

Phone:* Phone is Required

Phone extension: Phone extension is not valid

I confirm I am a physician

Medical School of Graduation from primary specialty: Medical School of Graduation from primary specialty is not valid

Year: Year is not valid

CERTIFICATION CREDENTIALS (Check all that apply): CERTIFICATION CREDENTIALS (Check all that apply) is not valid

Royal College of Physicians and Surgeons of Canada CAC in Palliative Care Subspecialist in Palliative Medicine College of Family Physicians of Canada

Other (Please specify): Other (Please specify) is not valid

PALLIATIVE CARE ACTIVITIES: PALLIATIVE CARE ACTIVITIES is not valid

Full-Time Part-Time<25% Part-Time 25-50% Part-Time >50% Palliative Care Trainee None

COMMUNICATION
I consent to receiving emails and other communications from the CSPM pertaining to my membership and to the information, activities, surveys and events of the Society. I understand that I may withdraw my consent at any time by contacting office@pallmed.ca:* COMMUNICATION
I consent to receiving emails and other communications from the CSPM pertaining to my membership and to the information, activities, surveys and events of the Society. I understand that I may withdraw my consent at any time by contacting office@pallmed.ca is Required

Yes No

I consent to receiving occasional research surveys issued by palliative medicine residents and other non-commercial palliative care researchers: I consent to receiving occasional research surveys issued by palliative medicine residents and other non-commercial palliative care researchers is not valid

Yes No

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Cheque and remittance form

Credit Card

Pay with your credit card via Stripe

No val Please fix the errors above

CSPM Members

Canadian Society of Palliative Medicine

Active Member – First 3 Years in Practice

Download Remittance Form

About

Membership

Resources

Education

Conference

Follow Us