Clinical Exam Registration Form

Clinical Genetics Examination Registration

The registration deadline for spring examinations is January 3, 2020.

Spring Comprehensive Objective Examinations (oral, OSCE or practical component) are conducted at:

- La Cité: 801 Aviation Pkwy, Ottawa (Ontario) K1K 4R3
- Royal College Exam Centre: 774 Echo Dr, Ottawa, ON K1S 5N8

Registration and Information Session

Registration is at 08:15 for the AM session from 09:00 to 12:00
Registration is at 13:15 for the PM session from 14:00 to 17:00

Name:*
Address:*
Telephone:*
-
E-mail:*
Select Training Site:*
Other Training Site:

IN CASE OF AN EMERGENCY - If you would like us to contact someone on your behalf, please provide the following:

Emergency Contact Name:
Emergency Contact Telephone #:
-
Emergency Contact Email:

Clinical Candidates Examination Fees:

  • $ 4,415 Written & Comprehensive Objective Examination (includes both written and oral/osce components).
  • $ 750 Exam Processing Fee
  • Total $5,165

Both the written and oral examination fees are due January 3, 2020.  Fees are in CDN funds.

Payments are accepted by cheque or money order payable to the CCMG and sent to: CCMG 4 Cataraqui Street Suite 310, Kingston, ON K7K 1Z7


Clinical Examination*

WRITTEN EXAMINATION – April 28 & 29, 2020

Language of Written Examination :

OSCE EXAMINATION - May 21, 2020 (La Cité Collégiale, 801 Aviation Parkway, Ottawa)

Language of Oral Examination:

*If you are sitting the written examination, you must designate an adjudicator who agrees to the following:

  • will be responsible for receiving the examination package;
  • will adjudicate the examination;
  • will guard the confidentiality of the examination;
  • will return the examination to the Chairperson of the Examinations Committee. 

Unless specific alternate arrangements have been made through the CCMG Management Office, the adjudicator must be a Fellow of the CCMG.

Name of Adjudicator: (Instructions and the examination package will be emailed prior to the exam)
Signature:*
Date:*

THIS COMPLETED FORM WITH YOUR EXAMINATION FEE PAYMENT MUST BE RECEIVED BY THE CCMG OFFICE BY THE JANUARY 3, 2020 DEADLINE.

Total: