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Annual Renewal of the Certificate of Authorization issued by the College of Physicians and Surgeons of Ontario completion of the application form for annual

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I am the member who completed and is submitting this 2015 Application Form for Renewal. I acknowledge that it is professional misconduct to make a false or misleading report to the College of Physicians and Surgeons of Ontario. 7



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CMHN Mentee Application; Useful Links & Forms; A searchable registry of Ontario doctors is also available from the College of Physicians and Surgeons of Ontario.

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Australian Capital Territory: Parkes ACT, Spence ACT, Muswellbrook ACT, Penrith ACT, Holder ACT, ACT Australia 2659

New South Wales: The Junction NSW, Moruya NSW, Swan Bay NSW, Caparra NSW, Caves Beach NSW, NSW Australia 2038

Northern Territory: Gunn NT, Nyirripi NT, Stapleton NT, Ti Tree NT, Virginia NT, Lajamanu NT, NT Australia 0897

Queensland: Haymarket QLD, Yungaburra QLD, Wattle Camp QLD, Allenview QLD, QLD Australia 4033

South Australia: Nundroo SA, Rostrevor SA, Paringa SA, Wrattonbully SA, Bundaleer North SA, Panorama SA, SA Australia 5036

Tasmania: Highcroft TAS, Gordon TAS, Dennes Point TAS, TAS Australia 7084

Victoria: Kew East VIC, Wurruk VIC, Framlingham VIC, Bunbartha VIC, Kenley VIC, VIC Australia 3002

Western Australia: Mt Nasura WA, Koolyanobbing WA, Higginsville WA, WA Australia 6089

British Columbia: Langley BC, Ladysmith BC, Lake Cowichan BC, McBride BC, Enderby BC, BC Canada, V8W 4W9

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Saskatchewan: Pilger SK, North Battleford SK, Smeaton SK, Lintlaw SK, Foam Lake SK, Netherhill SK, SK Canada, S4P 6C8

Manitoba: Selkirk MB, Emerson MB, Arborg MB, MB Canada, R3B 5P6

Quebec: Notre-Dame-des-Prairies QC, L'Ile-Cadieux QC, Dollard-des-Ormeaux QC, Lavaltrie QC, Cap-Chat QC, QC Canada, H2Y 3W2

New Brunswick: Tracy NB, Norton NB, Minto NB, NB Canada, E3B 7H2

Nova Scotia: Lunenburg NS, Inverness NS, Louisbourg NS, NS Canada, B3J 2S2

Prince Edward Island: Lot 11 and Area PE, Cavendish and North Rustico PE, Lady Slipper PE, PE Canada, C1A 7N9

Newfoundland and Labrador: Southern Harbour NL, Rocky Harbour NL, Peterview NL, L'Anse-au-Loup NL, NL Canada, A1B 3J2

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