Membership Application

All fields marked with an asterisk (*) are required

Membership Selection *

A Full Member is a legally qualified practitioner who is licensed to practice medicine in Ontario and is:
(a) Registered as a specialist in psychiatry by the Royal College of Physicians and Surgeons of Canada, and is in active practice, or,
(b) Teaching psychiatry in a university or other senior psychiatric position.

A Full Member ECP 1 is offered for the first year following certification; who is a legally qualified practitioner licensed to practice medicine in Ontario and is:
(a) Registered as a specialist in psychiatry by the Royal College of Physicians and Surgeons of Canada, and is in active practice, or,
(b) Teaching psychiatry in a university or other senior psychiatric position.

A Full Member ECP 2 is offered for the second year following certification; who is a legally qualified practitioner licensed to practice medicine in Ontario and is:
(a) Registered as a specialist in psychiatry by the Royal College of Physicians and Surgeons of Canada, and is in active practice, or,
(b) Teaching psychiatry in a university or other senior psychiatric position.

A Full Member ECP 3 is offered for the third year following certification; who is a legally qualified practitioner licensed to practice medicine in Ontario and is:
(a) Registered as a specialist in psychiatry by the Royal College of Physicians and Surgeons of Canada, and is in active practice, or,
(b) Teaching psychiatry in a university or other senior psychiatric position.

An Associate Member is any person who is a legally qualified medical practitioner or who occupies a position in nursing, psychology, social work, occupational therapy, or any other profession or occupation, closely related to psychiatry.

A Member-in-Training is a person who is registered in an approved, psychiatric, post-graduate training programme, or, in an undergraduate medical programme, in Ontario.

Contact Information

Title:
First name: *
Last name: *
Address: *
Suite #:
City: *
Province/State: *
Country: *
Postal/Zip Code: *
Email: *
Phone: *
Gender: *


Date of Birth: *
Privacy Policy: *
I consent to have my information used to provide me with OPA communications. 		           

Professional Appointments:

Resident: *            
Year of certification or expected graduation:
Institution of Training: *
Specialty: *

What motivated you to join OPA?

I would like to be involved in OPA advocacy areas:

Practice Characteristics:

Hospital or Academic Appointments:

 
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Membership Renewal


* I understand that my credit card will be automatically charged upon auto renewal.

Payment Information

Membership Subtotal: 0.00
Tax (13% HST)
HST #899667364 RT0001:		 0.00
Member-in-training Contribution: 0.00
OPA support Contribution: 0.00
Donation Total: $0.00
Membership Total: $0.00
Grand Total: $0.00
Name on Card: *
Credit Card Number: *
Expiration (MM/YYYY): * /
CVC: *

Recruit-a-Friend Promotion:

  • Existing members who recruit a new OPA member – both will be eligible for $20 refund. Each party may also designate the $20 refund towards OPA MIT fund or general advocacy.
  • Only Full or Associate membership categories eligible for this promotion.
  • At least one of the members must be new/non-current OPA member.
  • Both parties must renew/apply for membership in the same week and email OPA within 5 days of submitting membership applications to notify of the recruitment pairing.

The OPA is grateful for voluntary financial contributions to our not-for-profit organization. Because OPA is not a registered charity, these contributions are not eligible for tax receipts.

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