Request a Certificate of Professional Conduct

Request a Certificate of Professional Conduct

You may request a Certificate of Professional Conduct (CPC) if you hold, or have held, registration to practice medicine in
Prince Edward Island.

"*" indicates required fields

a physician registered presently or formerly by the College of Physicians and Surgeons of Prince Edward Island or its predecessor, the Medical Council of PEI, request a Certificate of Professional Conduct be sent to:
(include mailing or email address)
Information Release*
Further Information Release*
Complaints and Registration Status*
YYYY slash MM slash DD
Physician Mailing Address*
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If you chose to pay the $125 fee by cheque or cash, your Certificate will be processed when the payment is received in the office.

The Certificate of Professional Conduct will be sent to the regulatory authority or healthcare institution marked on your
consent form. Typically, these requests are completed within 5 to 10 business days from the date we received your
request.

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