This survey will act as your online application to join the Collaborative Mental Health Care Network (CMHN).

To participate in this Network, you must be a Family Physician practicing in the province of Ontario.


The survey will collect demographic information about you and your practice as well as your learning needs for continuing medical education.

The information you provide will help shape future program development. Thank you in advance for your participation.
About You

Question Title

* 1. Full name:

Question Title

* 2. Active email address which you regularly check:

Question Title

* 3. Your year of birth:

Question Title

* 4. Years in practice:

Question Title

* 5. You are:

Question Title

* 6. Which best describes you?

Question Title

* 7. Please provide your CPSO number:

T