CMAAC Membership Application Form Logo
  • CMAAC Membership Application Form

    Professional Member Application
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  • EDUCATION

    College/University

  • APPENTICESHIP (if applicable)

  • POST-GRADUATE TCM AND ACUPUNCTURE TRAINING

    Internship

  • Clinic Hours/Research Fellowship

  • POST-GRADUATE TCM AND ACUPUNCTURE QUALIFICATIONS

  • TCM and/or Acupuncture License(s)

  • Continuing Education (Minimum of 15 Hours)

  • Practice History

    In chronological order, list the name of every jurisdiction where you have practiced TCM and Acupuncture, including all training appointments, since your graduation from TCM school.

  • Affiliations

    List all professional associations with which you have held or currently hold membership.

  • Questionnaire

    The following questions are to be answered yes or no. For every affirmative answer, please attach a comprehensive explanation to the application and identify the registering authority, health care facility, attending practitioner, or other institutions/persons involved in the situation.

  • Declaration

    I hereby certify that the above statements are true and correct to the best of my knowledge. I hereby apply for membership to The Chinese Medicine and Acupuncture Association of Canada (CMAAC). In the event of cessation of membership with CMAAC, the membership, being the property of CMAAC will be duly returned.

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  • Code of Ethics

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  • Code of Ethics Statement

  • Membership Fee

  • Cheques are to be mailed to:

    CMAAC Head Office, 154 Wellington St, London, ON N6B 2K8

     

    For e-Transfer, please contact CMAAC Head Office at headoffice@cmaac.ca or 519-642-1970.

  • Please submit:

    1. Two passport size photographs signed by a credible guarantor
    2. Certified copies of credentials (Academic and Clinical)
    3. Signed Code of Ethics
    4. Copy of Education Transcripts

    **PLEASE NOTE: The processing fee for the membership application is NON-REFUNDABLE. As well, certified copies of credentials submitted will NOT be returned.

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