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  • Registration
    • Apply for Independent Practice
      • Postgraduate Training in Alberta
      • Physician Extender Registration
      • Telemedicine or Teleradiology Registration
      • Temporary Activity Registration
    • Registration Assessments
      • Practice Readiness Assessments (PRA-AB)
      • Return to Practice
      • Change in Scope of Practice
      • Our assessors
    • Information for International Medical Graduates (IMGs)
      • Therapeutics Decision Making Exam
    • Registration FAQs
      • Physician Resource Statistics
    • Practice Permit Renewal
    • Certificates of Professional Conduct
    • Professional Corporations
    • Physician Assistants
  • Complaints
    • Our Complaints Process
    • Patient Advocates
    • Hearings at the College
    • File a Complaint
    • Disciplinary Decisions
    • Complaint Statistics
    • Complaint FAQs
  • Your Practice
    • Quality in Practice
      • Practice Checkup
      • Individual Practice Review
      • MSF+
      • Group Practice Review
      • Practice Quality Courses & Resources
      • Continuous Professional Development (CPD)
    • Physician Prescribing Practices
      • Prescribing Resources and Tools
      • Opioid Agonist Treatment Program
      • Cannabis for Medical Purposes
      • TPP Alberta
      • Let’s Talk About Opioid Prescribing
    • Professionalism & Ethics
      • Standards of Practice
      • Advice to the Profession
      • CPSA Code of Conduct
      • Code of Ethics & Professionalism
      • Consultation
    • Infection Prevention and Control (IPAC)
      • General IPAC
      • Medical Device Reprocessing
    • Physician Health Monitoring Program (PHMP)
      • What to Expect
      • PHMP Policies
      • Blood-Borne Viral Infections
      • Biological Monitoring
      • Chaperone Requirement
      • Substance Use Disorder Framework
    • Research & Evaluation Unit
    • Courses, Workshops & Conferences
      • Practice Quality Courses & Resources
  • Accreditation
    • Facility Accreditation
      • Cardiac Exercise Stress Testing (CEST)
      • Neurodiagnostics
      • Sleep Medicine Diagnostics
      • Vestibular Testing
    • >>
      • Diagnostic Imaging
      • Diagnostic Laboratory Testing
    • >>
      • Hyperbaric Oxygen Therapy (HBOT)
      • Non-Hospital Surgical Facility (NHSF)
      • Pulmonary Function Diagnostics (PFD)
    • Radiation Equipment
      • Laser Equipment
      • X-Ray Equipment
    • Electrocardiogram (ECG) Interpretation Examination
    • Medical Facility Accreditation Committee
    • Physician Approvals
  • About
    • About the College
      • Vision, Mission, Values
      • Council
      • College Committees
      • Community Relations
      • Privacy
    • Information For:
      • Physicians
      • Public
      • Media
    • Publications
      • The Messenger Newsletter
      • Strategic Plan
      • Annual Report
      • Medical Directory Listings
      • Managing Disruptive Behaviour
    • Resources
      • Insurance Act Regulations
      • EMRs & Physicians
      • Medical Directory Listings
      • Complementary and Alternative Medicine
      • Forms for Physicians
      • Billings & Fees
      • Renew Your Practice Permit
    • Professionalism & Ethics
      • Standards of Practice
      • Advice to the Profession
      • CPSA Code of Conduct
      • Code of Ethics & Professionalism
      • Consultation
      • Courses, Workshops & Conferences
    • Jobs at the College
    • Dr. Bryan Ward Memorial Endowment Fund
    • Regional Tour
    • Contact Us
    • Latest News Archive
  • Search
Forms for Physicians

Forms for Physicians

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Notification of Change
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Certificate of Professional Conduct
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Apply for
Specialist Recognition
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Practice Permit Renewal
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Apply for our PAP plan
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Custody of Patient Records

Application Forms for Billing Numbers (Alberta Health & WCB)

  • Alberta Health billing number
  • Workers’ Compensation Board billing number

Contact

Member Services Agents
780-969-4925 or 1-800-320-8624 ext. 4925 (in Alberta)
memberinquiries@cpsa.ab.ca

Contact CPSA

2700 - 10020 100 Street NW
Edmonton, AB T5J 0N3 Canada Phone: 780-423-4764
Fax: 780-420-0651

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