Registration for Peer Connect Small Group with Drs. Rachel Shour and Nermine Gorguy

Thank you for your interest in joining a Peer Connect small group. Please complete the registration form below to join a small group facilitated by Drs. Rachel Shour and Nermine Gorguy. This group will meet on the following dates (Tuesdays) from 4:00-5:30 PM via Zoom.

Next session: Tuesday, July 21st, 2026

This group will run monthly until March 2027. The remainder of the group dates will be decided later in the year.

*1.I commit to attending and participating in the group discussion dates listed above. Please note that participants who miss 3 consecutive sessions will be removed from the group. OCFP will send a reminder after 2 absences.(Required.)

I agree.

*2.Please provide the following information:(Required.)

First Name:

Last Name:

Email:

CFPC Number (for Mainpro+ credits):

3.Please share topics/areas of interest you are hoping to focus on during these small group discussions.

4.What challenges/barriers are you hoping these small group discussions can help you with?

5.Identify your practice region:

Central Region 

Toronto Region

North East Region

North West Region

East Region

West Region

6.Identify your practice model:

Family Health Group (FHG)

Fee for Service (FFS)

Family Health Network (FHN)

Family Health Organization (FHO)

Family Health Team – Family Health Network (FHT – FHN)

Family Health Team – Family Health Organization (FHT – FHO)

Comprehensive Care Model (CCM)

Community Health Centre (CHC)

Rural Northern Physician Group Agreement (RNPGA)

GP Focused Practice

Other (please specify):

Create surveys and forms with ease. Sign up free.

Privacy & Cookie Notice