US Physicians

First Name*

Last Name*

Phone Number*

Phone

Email*

How would you like to be contacted?*

Phone

Email

What US state are you currently practicing in?*

Select

Do you require a permit to work in Canada?*

If you are a Canadian Citizen or have permanent residency in Canada you do not need a work permit to practice in Canada.

Yes

No

Are you a Medical Resident?*

Yes

No

What year of residency are you in?

Select

Are you a Medical Student?*

Yes

No

What is your area of specialty?*

Select

Consent to release information*

I agree to provide consent to release information to partner organizations for the purpose of recruitment to practice in Nova Scotia.

Yes

No

CV (Curriculum Vitae) - OPTIONAL

Please upload your current CV to expedite the recruitment process if eligible.

You can still submit without your CV and our career concierge will be in touch.

File Upload

Drag and drop files here or

Send me a copy of my responses