* This is a database of registered Newfoundland and Labrador Doctors.

PPR-NL Pre-screening Questionnaire

PPR-NL Pre-screening Questionnaire

Full Name(Required)
MM slash DD slash YYYY
Address(Required)
Is your practice:(Required)
Are you currently on medical/maternity leave?(Required)
MM slash DD slash YYYY
Do you plan to retire within the next twelve months?(Required)
MM slash DD slash YYYY
Have you been assessed during the last five years for licensure, certification, or other reasons (i.e., full medical license in Canada, certification by the Royal College of Physicians and Surgeons of Canada or College of Family Physicians of Canada), or in the past five years have you been the subject of a College review?(Required)
Full Name(Required)
MM slash DD slash YYYY