Please enable JavaScript in your browser to complete this form.Are you currently PRA eligible? *YesNoWhich provinces are you PRA eligible? (Check all that apply) *British ColumbiaAlbertaSaskatchewanManitobaOntarioNova ScotiaNewfoundland & LabradorNew BrunswickWhich area(s) of specialization? (Check all that apply) *Family or General MedicineInternal MedicinePediatricsObstetrics and GynecologySurgeryAnaesthesiaPublic or Community HealthRadiologyPsychiatryEmergency MedicineOphthalmologyOrthopedic SurgeryDermatologyOtherIf other, please write your specialization below: *Submit
