CAAM - Online Application Form

Please complete the form below to submit your application for membership of the Canadian Association of Aesthetic Medicine (CAAM). Please ensure to complete all fields that are required. Any questions, please contact the CAAM office at 604.239.CAAM (2226) or email info@caam.ca; info@congressworld.ca

Step 1 - Contact Information

Please type your name and credentials the way you would like it to appear on your certificate of membership.

Dr.

Name

Surname

Credentials (MD, MB ChB, BSc, CCFP, CFPC, FCFP)

Specialty (if available)

Physician License Number

Practice/Clinic Name

Address

City

Province/Territory

Postal Code

Telephone

Fax (if available)

Website (if available)

YES, please list my contact information on the website Physician Locator.

YES, I am a member of good standing with my Provincial College of Physicians and Surgeons.

Step 2 - Additional Information about Yourself

This is not for distribution and will only be used for statistical purposes.

Gender

Date of Birth

Medical School of Graduation

Graduated

Degree

Year You Started Practicing Aesthetic Medicine

Do You Practice

Step 3 - Select Membership Category

Select Membership Type

How Did You Hear About CAAM?

Step 4 - Medical Procedures

CAAM recognizes the following medical procedures. Please select all procedures that apply to your Practice/Clinic (one procedure must be selected):

Anesthesia of the Face and Dermal Fillers
Facial Anatomy and Neuromodulators for the Upper Face
Light Based Therapy in Aesthetic Medicine
Microdermabrasion, Cosmeceuticals, and Chemical Peels
Non-Invasive Body Contouring Therapy
Skin Considerations in Aesthetic Medicine

YES, I agree for the medical procedure(s) that I have selected to be listed on the website physician locator.

Step 5 - Billing Information

Please select this box if your billing information is the same as your above contact information

Address

City

Province/Territory

Postal Code

Telephone

Fax (if available)

Step 6 - Payment

Method of Payment

Credit Card

Credit Card charges will appear as "CongressWorld" on your statement and converted to your currency.

Credit Card Number

Name on Card

Expiry Date

Security Code

3 or 4 digit code on the back

Cheque

Send a Cheque

Send a cheque made payable to "CAAM" to the mailing address listed below. Please ensure to include a copy of your registration with payment.

Mailing Address:
Canadian Association of Aesthetic Medicine (CAAM)
c/o CongressWorld Conferences Inc.
1087 Roosevelt Crescent
North Vancouver, BC V7P 1M4
Canada

Step 7 - Terms of Service I accept the Term of Service of my membership for the Canadian Association of Aesthetic Medicine (CAAM).

Cancellation Policy: Cancellation must be received in writing at the CAAM office.

Step 8 - Privacy Policy Yes, I accept the Canadian Association of Aesthetic Medicine’s (CAAM) Privacy Policy.

Our Privacy Policy information is available under About CAAM.

> Membership | Online Application Form

Method of Payment

Send a Cheque

Member Sign In

Forgot your password?