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 reduced rate is offered to a Full Member for the first year following FRCPC 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 reduced rate is offered to a Full Member for the second year following FRCPC 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 reduced rate is offered to a Full Member for the third year following FRCPC 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 OPA Associate with Independent Practice Licence is a:
(a) Certified psychiatrist without active licence to practice independently in Ontario;
(b) Certified psychiatrist licenced to practice independently in jurisdictions other than Ontario;
(c) Certified health practitioner, clinician, or clinical researcher in a discipline closely related to psychiatry or mental health, in Ontario. Qualifying disciplines include medicine, medical psychotherapy, general practitioner psychotherapy, nursing, psychology, social work, registered psychotherapy, and occupational therapy.

An OPA Associate (Non-Voting) Member is a:
(a) Trainee registered in an accredited psychiatric residency or fellowship training program in jurisdictions other than Ontario; (b) Trainee in a discipline closely related to psychiatry or mental health in Ontario. Qualifying disciplines include medicine, medical psychotherapy, general practitioner psychotherapy, nursing, psychology, social work, registered psychotherapy, and occupational therapy.

A Member-in-Training is registered in an accredited psychiatric residency or fellowship training program 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:

Psychiatry 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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