Canada Health Alliance Verification Application Form

VERIFICATION APPLICATION FOR HEALTH PRACTITIONERS

 
Canada Health Alliance is proud to offer three categories of healthcare practitioner verification. If you would like to be verified in any of these three categories please complete all the required fields of this application form.
 
If you have any questions or need help with your application please email: verification@canadahealthalliance.org.
REQUIRED ATTACHMENTS
1. PHOTO I.D: Attach a copy of your driver's license, passport, or other government-issued ID.
2. CREDENTIALS: Attach a copy (If applicable) of your most recent or current license or certificate, your most recent license from your health regulatory college and/or a certificate from your health training program.
3. YOUR RESUME: Please attach a copy of your current CV or resume.

Allowed file types: jpg, jpeg, png, pdf
Please include any additional information about your area(s) of expertise, education, skills, and training (this information may be used to further evaluate your verification and will assist the CHA in developing programs and services of interest to our members).
COST OF VERIFICATION::
There is an annual fee of $100 for verification of your professional status by the CHA.

METHODS OF PAYMENT:
Payment can be made either via e-transfer to directors@canadahealthalliance.org or via cheque posted to Canada Health Alliance at 715 Larch Drive, Qualicum Beach, BC. V9K 1H5. Once payment has been received we will begin the verification process.