CANADIAN PHYSICIAN COACHES NETWORK
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If you are interested in becoming a member coach of the Canadian Physician Coaches Network, please complete and submit the form below. One of our membership committee volunteers will get in touch within a few days.
CPCN Membership Inquiry
*
Indicates required field
Name
*
First
Last
Email
*
Phone
*
Web page
*
Are you currently credentialed by a recognized coaching organization
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Yes
No
Please identify the organization(s) with which you are credentialed (select all that apply)
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ICF
EMCC
IAC
NBHWC
Other (please enter in box below)
Other Credentialing Body
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Do you have experience coaching physicians?
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Yes
No
3. Which areas interest you in contributing to the health of our Network? Please check all that apply:
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Finance
Marketing/Website/Social Media
Membership
Strategic Planning
Community of Learning
Research
Mentorship/Supervision
Teaching and Presenting
Journal Club
Other (please enter in box below)
Other Area of Interest
*
4. Please upload a short bio which includes your coaching style, experience and specific areas of physician coaching in which you would like to practice (e.g. resilience, health and wellness, leadership, communication, other)
*
Max file size: 20MB
Submit
Home
Our Member Coaches
Our Board
Members only
Contact
Events
About CPCN