Become A Member | CASEM

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Contact Information

Clinic

Address*

Unit # or P.O. Box

City*

Province*

Postal Code*

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Extension

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Practice & Licence

Type of Practice

The Canadian Academy of Sport Medicine provides the names of physicians interested in sport medicine to National Sport Organizations for involvement in the medical care of athletes and sport coverage. If you are willing to have your name forwarded to these organizations, please indicate the sports you would like to work with.

Licence Number*
Medical students - input 12345

I certify that I am a physician licensed to practice in the province and or country indicated in my membership application.

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Membership will be rendered invalid without refund or compensation of membership dues, if false information is provided. Membership will be activated once copy of medical license or medical school registration is received at the National Office. A subscription to the Clinical Journal is NOT included with the student membership fee.

I certify that the information provided is true and accurate.