Notification of Closing or Taking Leave from a Medical Practice

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1Physician Information
2Closure Information
3Location of Patient Medical Records
4Licence to Practice Medicine
All physicians who are closing their medical practice or taking leave from practice of three (3) months or longer must comply with the Standard of Practice: Closing or Taking Leave from a Medical Practice and notify the College in advance of the intended closure.

Please refer to the Frequently Asked Questions and the Physician Checklist, which provide general advice to support the understanding of the College's expectations.

If you have further questions, please email us at compliance@cpsnl.ca

Physician Information

Mailing Address (for College use only)(Required)
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Closure Information

I am discontinuing my practice of medicine at:(Required)
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

MM slash DD slash YYYY
MM slash DD slash YYYY

Has another physician assumed care of your patients?(Required)

New practice address (if applicable)
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Location of Patient Medical Records

Physicians must notify the College of the location of their patient medical records, including contact information and any instructions for how patients can obtain a copy of their medical records. This information will be made available to the public upon request. Should the location of the medical records change, the College must be notified by email at compliance@cpsnl.ca

Please refer to Medical Records Documentation & Management for further information.

My patient medical records have been/will be transferred to:(Required)

Please provide the full address and contact information for the location of patient medical records(Required)
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Do you intend to maintain your Licence to Practice Medicine after your closure of practice or during your leave from practice?(Required)
NOTE: If you will not continue to hold professional liability coverage following the closure of your practice or during your leave from practice, you must email the College at licensing@cpsnl.ca to request that your licence be changed to 'Non-Practicing' status.
(Required)
A physician may resign their Licence to Practice Medicine and discontinue their practice of medicine in Newfoundland and Labrador and must notify the College of their intention to do so. Once you resign, your Licence to Practice Medicine expires and you must cease practicing medicine, including prescribing medications, immediately.

Resignation of Licence to Practice Medicine

MM slash DD slash YYYY

Once I resign, my Licence to Practice Medicine expires and I must cease practicing medicine, including prescribing medications, in Newfoundland and Labrador immediately.(Required)

Once I resign, my Professional Medical Corporation Licence expires. (This may not apply to all physicians. If this does apply to you, the College will follow up with you appropriately.)(Required)

I have read the College's Standard of Practice: Closing or Taking Leave from a Medical Practice(Required)

MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.
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