Do you have the following license or certification: Diagnostic Radiology?*

Do you have College of Physicians & Surgeons of Alberta licensure or eligibility (Diagnostic Radiology including U/S)?*

Are you a Fellow of Royal College of Physicians & Surgeons of Canada (Diagnostic Radiology)?*

How many years of work experience do you have using MRI?

How many years of work experience do you have using Breast Imaging?

How many years of work experience do you have using Patient Care?

How many years of work experience do you have using Clinical Care?

How many years of work experience do you have using BMD?

First Name*

Last Name*

Email*

Phone Number*

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