Practice Ontario - Physician Expression of Interest Form

Practice Ontario provides transition into practice and job-search support for Ontario medical residents and physicians who have graduated within the last year in specific specialties.
Please fill out the following expression of interest form if you are interested to learn more about our services.

If you are a License-Eligible Physician Out of Province, please fill out this Expression Of Interest Form at License Eligible EOI

Questions marked with * are required.

Name and Contact	Salutation: First Name: Last Name: Email Address: Telephone: City: Province: Postal Code: *Preferred Language of Contact:
Current Status and Specialty	Current Status: Medical Specialty: Subspecialty Information (if applicable):
Medical School Details	Country of Medical School: Medical School Name: *Medical School Completion Date (actual or anticipated): Month: Day: Year:
Residency Details	Residency Program Name (i.e. Specialty): Residency Program Location (Ontario): Residency Completion Date (actual or anticipated): Month: Day: Year:
Fellowship Details	Fellowship Program Name (i.e. Specialty): Fellowship Program Location: Fellowship Completion Date (actual or anticipated): Month: Day: Year:
Additional Information	CPSO Number: Additional Information/Preferred Location(s):

By completing the expression of interest form you agree to receive email correspondence from Ontario Health related to job opportunities.