Membership application

Apply for membership in the Canadian Podiatric Medical Association

Membership application form

Membership in the Canadian Podiatric Medical Association is available to qualified professionals who meet the required standards of education, training, and practice. Applications are reviewed by the CPMA Membership Committee and must include complete and accurate information for evaluation.

Fields marked with are required.

1. Contact information

Personal details

Practice information

Contact details

Provincial membership

If you practice in British Columbia, Alberta, New Brunswick, Nova Scotia, Manitoba, or Ontario, you must first be enrolled as a member of your provincial organization.

Legend:
Which provincial organization(s) are you currently a member of? Select all that apply.

2. Education

Education status

Status
What is your current status?

Completed education

Degree status:
Are you holding a completed degree?
Degree:
Highest completed degree to date
Legend:
Graduation date

Current enrolment

Current enrolment:
Are you currently enrolled in a degree program?
Degree:
Current program (degree in progress)
Legend:
Graduation date

Residency status

Residency / preceptorship:
Have you completed a residency or preceptorship?
Legend:
Length of residency / preceptorship

3. Practice information

Legend:
Physician locator information
Legend:
Language(s) spoken

4. Application fee

Membership is valid for one year and remains in good standing from the date your application and payment are received. The CPMA Membership Dues are CAD $350 + applicable GST/HST and are collected on behalf of the Canadian Podiatric Medical Association (CPMA). By submitting this form, you will be directed to complete payment.

If you request a cancellation within thirty (30) days of your application and payment being received by the CPMA office, you will be eligible for a refund, less a CAD 100 processing fee. All cancellation requests must be submitted in writing to the CPMA office.