Winter-Spring 2009
College offices move Monday, April 27
The offices of the College of Physicians and Surgeons
of Nova Scotia will move to Suite 5005 - 7071 Bayers
Road (the former Zellers location) on Monday, April
27. Members are asked to use the following address
as of that date.
College of Physicians and Surgeons of Nova Scotia
Suite 5005 - 7071 Bayers Road
Halifax, Nova Scotia
B3L 2C2
Phone, fax, website and e-mail addresses will remain
the same.
The move will provide easier access and parking for
visitors and will enable staff to work more efficiently
on one floor as opposed to the previous two.
What you need to know about FRPA and AIT
The recent passage of the Nova Scotia Fair Registration
Practices Act (FRPA) and recent amendments to the
Mobility Chapter of the Agreement on Internal Trade
(AIT) have generated a lot of attention in recent
months. For those who value professional self-regulation,
their passage signifies a shift toward greater government
oversight. This oversight will put pressure on professional
autonomy and is quite possibly the shape of things
to come. More immediately, these two pieces of legislation
will increase the expenses of the College and other
professional regulatory bodies due to the reporting,
procedural adjustments, data collection and legislation
reviews they require.
Historically, governments have allowed self-governing
bodies such as the College to manage their own affairs
under a statutory mandate, typically to protect the
public interest (through licensing, discipline and
standard-setting) and to preserve certain aspects
of their professions’ interests. However, the
prospect of a shrinking workforce and the desire to
attract workers from other places have sometimes led
governments to regard the licensing processes of self-governing
professions as encumbrances rather than the major
public assets they are.
With FRPA, the Nova Scotia legislature has enacted
a Fair Registration Practices Code that sets very
clear requirements about the process (not the standards)
for admission to a profession. Quite reasonably, the
code expects that rules must be clearly published,
that decision-makers must be trained and that there
must be appeal processes. The College welcomes these
requirements as complimentary to its existing efforts
toward greater transparency.
However, FRPA also mandates ongoing public oversight
of key aspects of the self-regulatory bodies’
activities. In the College’s case, there will
be government oversight of the initial physician licensing
processes. The College will report periodically as
required to a publicly appointed Review Office to
ensure that initial registration processes are fair
and timely. Failure to meet certain requirements could
lead to sanctions. While it is hoped that this government
oversight will not be particularly onerous or politicized,
it will certainly change the dynamics of medical professional
regulation in this province.
The AIT represents a significant national move to
increase mobility and eliminate differences in registration
requirements across all the professions and trades.
Licensing of physicians will remain a provincial responsibility;
there will not be a national license. Physicians are
still required to apply and hold a license in the
province where they work. The vast majority of Canadian
physicians who have been educated and trained in Canada
have always been fully mobile throughout the country
and the AIT will not affect them. Furthermore, it
only applies to physicians who are presently licensed
in Canada, and not to those applying for a license
for the first time. Physicians who are licensed in
a Canadian jurisdiction and do not intend to move
to another should not be affected in any way by AIT.
Those most affected may be physicians who have a
full and unrestricted license in one province but
do not have the licensing requirements for a full
and unrestricted license in another province. The
AIT should allow (with few exceptions) a physician
with a full and unrestricted license to receive a
full and unrestricted license in any other province
or territory in Canada on application and if they
are in good standing. For those physicians, holding
licenses with conditions or restrictions the AIT may
improve their ability to be licensed in another province
proving the other province is able to apply the same
conditions and restrictions. But it is still not completely
clear what real change or impact the AIT will have
on physician mobility.
The recent AIT amendments may have the potential
to restrict the type of information the College can
require from applicants from other jurisdictions,
which may in turn limit the College’s ability
to protect the public. The AIT will also likely have
an enforcement mechanism in the form of penalties
against provinces where professions are not in compliance,
and the effects of this remain to be seen.
Many concerns have been raised about the potential
for the labour mobility provisions in the AIT to deplete
physician populations in certain rural areas and provinces.
Others argue that with the AIT the lowest licensing
standard will eventually apply nationally. The provincial
Colleges of Physicians and Surgeons have met on a
number of occasions about this and are determined,
if anything, to work together for the highest national
licensing standards for public safety.
FRPA and AIT have changed the fundamental ground
rules of self-governance. The College worked closely
with other Nova Scotia self-regulatory bodies to lobby
for amendments to early drafts of FRPA, with some
notable success. The College will continue to monitor
developments in this area and will communicate with
its members as events warrant.
Guidelines and Policies approved by Council
The following guidelines and policies have been approved
by Council since December 2008.
Policy Regarding Accepting New Patients
www.cpsns.ns.ca/publications/accepting-patients.htm
This new policy details the College’s expectation
that physicians who are accepting new patients do
so on a first-come, first-served basis and not use
techniques to select “easy patients” and/or
screen out those with more difficult health concerns,
such as chronic or terminal disease. Limited, specific
exceptions are described in the policy. This new document
was approved by Council at its March 27, 2009 meeting.
Responsibilities When Closing a Medical Practice
www.cpsns.ns.ca/publications/responsibilities-closing-practice.htm
This new document was approved by Council at its March
27, 2009 meeting.
Guidelines for Retiring Physicians Regarding
Licensing and Notification
www.cpsns.ns.ca/publications/retiring-physicians.htm
This newly revised document was approved by Council
at its March 27, 2009 meeting.
Guidelines for Medical-Legal Reports
www.cpsns.ns.ca/publications/medical_legal_reports.htm
This is a joint publication of the Nova Scotia Barristers’
Society and Doctors Nova Scotia that was originally
released in 1993 and first endorsed by the College
in 2001. Council re-endorsed this document at its
December 5, 2008 meeting.
2009 Council election results announced
The three Council seats open for election in 2009
have been filled by acclamation. In District 5 (Halifax
County), Dr. Ethel Cooper-Rosen, a Dartmouth family
physician, has retained her seat for a further three-year
term, as has Dr. Fiona Bergin, a Halifax family physician.
In District 1 (the Counties of Antigonish, Guysborough,
Inverness, Richmond, Victoria and Cape Breton), Dr.
Farokh Buhariwalla, a family physician in Sydney,
has won by acclamation the seat vacated by former
College president, Dr. Rex Dunn. Dr. Buhariwalla will
complete the remainder of Dr. Dunn’s Council
term, which expires in June 2010.
NS physicians asked to nominate colleagues for major
professionalism award
The College of Physicians and Surgeons of Nova Scotia,
in partnership with the Humanities in Medicine Program
at Dalhousie University Medical School, has established
an annual province-wide award to honour a Nova Scotia
physician who exhibits outstanding professionalism
in the practice of medicine. This award complements
the existing Gold Headed Cane award that is given
annually to a physician in the Dalhousie University
Faculty of Medicine.
The award was first presented on September 24, 2008
to Dr. Lynn Johnston, an Infectious Disease specialist
in Halifax.
The Gold Headed Cane Award honours a physician who
exemplifies selflessness, altruism, accountability,
excellence, duty, service, integrity and respect for
others. This award is open to all practicing physicians
in Nova Scotia. It is not a teaching award and is
not assessed on length of professional service.
Presentation of the next award will take place in
late September 2009 at the annual Gold Headed Cane
Awards Dinner for the Humanities in Halifax.
College members are encouraged to nominate deserving
peers for this significant professional recognition.
Nominations will be reviewed in confidence by a six-member
committee consisting of physicians and a member of
the public.
Nominations must be received no later than Friday,
June 19, 2009, and should include the following:
• A typewritten letter of no more than three
pages (10-point font minimum) to include:
o Name, address, and phone number of nominator
(a practicing physician licensed in Nova Scotia)
o Name, address, and phone number of nominee (a
practicing physician licensed in Nova Scotia)
o A description of how this individual exhibits
outstanding professionalism in the practice of
medicine as defined by selflessness, altruism,
accountability, excellence, duty, service, integrity
and respect for others.
• A brief biography of the nominee
Successful nominees should be prepared to attend
the Gold Headed Cane Awards Dinner in late September
2009.
For further information, please contact Ms. Pat Pettit
at the address below.
Nominators will be notified of the Committee’s
decision by early September 2009.
Please mail or courier the nomination in a sealed
envelope marked “confidential” to:
Ms. Pat Pettit
Director of Administration
College
of Physicians and Surgeons of Nova Scotia
Suite 5005 - 7071 Bayers Road
Halifax, Nova Scotia
Canada
B3L 2C2
Phone: 902-421-2200
E-mail: ppettit@cpsns.ns.ca
MSI and College stress ethical practices in consulting
and billing
Unfortunately, complaints to the College involving
unethical billing practices are not uncommon. An important
source of information on appropriate billing practices
is the preamble to the MSI physician’s manual,
which has recently been updated and distributed to
all Nova Scotia physicians. This material is also
available on the members`side of the Doctors
Nova Scotia website. Physicians are expected to
familiarize themselves with this document and to comply
with it when consulting with patients and submitting
billings.
Of particular importance is section 5.4.5, which
states:
When physicians are providing non-insured services,
they are required to advise the patient of insured
alternatives, if any exist.
A hypothetical example of a breach of this section
is as follows:
A new technology has arrived on the market for
the management of Condition X. Although the short-term
outcomes look promising, there are no long-term
studies yet available. Some physicians have chosen
to purchase the equipment for their office or clinic
knowing that it is not yet an insured technology
and are providing this uninsured service to their
patients and charging their private fee.
There are other methods of managing Condition X,
the long-term outcomes are well known, and these
methods of treatment are insured.
After discussing the treatment options with the
patient, the patient may leave the consultation
believing that the new technology is the only available
option for their condition.
It is essential to discuss the insured and uninsured
alternatives to the patient in fair and unbiased
terms.
The CMA Code of Ethics (endorsed by the College)
also includes several other relevant points in this
area:
7. Resist any influence or interference that could
undermine your professional integrity.
11. Recognize and disclose conflicts of interest
that arise in the course of your professional duties
and activities, and resolve them in the best interest
of patients.
13. Do not exploit patients for personal advantage.
16. In determining professional fees to patients
for non-insured services, consider both the nature
of the service provided and the ability of the patient
to pay, and be prepared to discuss the fee with
the Patient.
23. Recommend only those diagnostic and therapeutic
services that you consider to be beneficial to your
patient or to others. If a service is recommended
for the benefit of others, as for example in matters
of public health, inform your patient of this fact
and proceed only with explicit informed consent
or where required by law.
For further information about MSI and its policies,
please contact:
Dr. Karen A. Sample
Medical Consultant, MSA Assessment
(902) 496 -7145
karen.sample@medavie.bluecross.ca
The College has produced or endorsed the following
guidelines that may also be of interest to physicians
in this area:
Physicians and the Pharmaceutical Industry
www.cpsns.ns.ca/publications/physicians-pharma.htm
Conflict of Interest Guidelines
www.cpsns.ns.ca/publications/conflict-of-interest.htm
Patients’ choice of midwifery not grounds for
discrimination
As described in a March
18 press release from the Nova Scotia Department of
Health, women in Nova Scotia will increasingly
have access to publicly-funded midwifery services
as the province begins the integration of midwives
to primary maternity care tems.
The College has learned of a recent instance in which
a physician allegedly refused to treat a patient who
was contemplating using the services of a midwife
once the act permitting midwives to practice was ratified.
Such discrimination would be unethical and potentially
harmful to the patient involved.
The College has and will be involved in midwifery
regulation and reminds its members that midwives are
now legally practicing members of maternity care teams
in this province. Patients who are considering or
who have chosen the services of a midwife expect and
deserve to be treated in a non-discriminatory manner
by their physicians.
New criminal code provisions may compel MDs to
collect and surrender patients’ blood to police
when intoxication suspected
Editor’s Note:
The material below was provided by the Provincial
Impaired Driving Countermeasures Coordinator. Physicians
with questions are encouraged to contact the Coordinator
(see contact information below).
Former federal Bill C-2 which was put into force
on July 2, 2008 contained a number of “Tough
On Crime” provisions. Some related to increased
police powers during drug impaired driving investigations
and the Drug Evaluation & Classification Program
which has been in existence in the U.S. since the
1970’s and in Canada since 1995.
At the core of this enabling legislation is The
Drug Recognition Evaluation. It is only undertaken
if there are reasonable and probable grounds to
believe the driver has committed the offence of
being impaired by drug(s) or a combination of drugs
and alcohol (and where the driver’s BAC does
not exceed the legal limit). This examination is
conducted post-arrest in the controlled environment
of the police facilities. It typically takes 35-40
minutes to complete and is comprised of five psycho-physical
tests as well as the examination of clinical signs
such as body temperature, blood pressure, muscle
tone, pulse rate, pupils size (room light, dark
room, direct light), reaction to light, lack of
convergence, and others.
At the conclusion of the drug evaluation, the “evaluating
officer” (as defined in The Criminal Code
section 254-1) forms an opinion as to “impairment”
and also as to what category or categories of drugs
may be causing the impairment.
Whereas hundreds of these evaluations were conducted
in Canada strictly on a voluntary basis prior to
July 2nd 2008, the legislation now authorizes the
police to demand drivers (with the required pre-requisite
beliefs) to be subjected to an evaluation (254-3.1
CC). Refusing to comply parallels and carries the
same penalties as refusing a demand for a breath
or blood sample in alcohol related impaired driving
cases. Further, if at the conclusion of the evaluation,
the evaluating officer reasonably believes there
is impairment, a further demand can be made for
a sample of either saliva, urine (254-3.4-a CC),
or blood (254-3.4-b CC) . These samples are later
analysed by the RCMP Forensic Lab and must corroborate
the opinion of the evaluating officer as to the
category of drug(s) he/she believes is causing the
impairment.
While saliva & urine can be collected by police,
blood samples can only be taken by a “qualified
medical practitioner” (254-1 CC) and the concerns
regarding the safety and well-being of the patient
must be met. Traditionally, the toxicological choice
of the evaluating officer has been urine but we
understand the advantages blood analysis has over
urine, specifically related to what is presently
in the body versus what had been ingested in the
past, possibly days, weeks or months ago.
We provide this background on our program and the
new Criminal Code provisions in order to enlighten
qualified medical practitioners as to the legal
environment involved in assisting peace officers
in obtaining blood for drug related impaired driving
investigations.
Physicians with questions are encouraged
to contact:
Constable Scott D Macdonald
Provincial Impaired Driving Countermeasures Coordinator
Drug Evaluation & Classification Program Provincial
Coordinator
Nova Scotia Department of Justice
Phone: 902-722-1028 (office)
Cell: 902-240-1590 (cell)
E-mail: macdosd@gov.ns.ca
May 16 CME on ultrasound for central line placement
and other procedures - Of particular interest to anesthetists,
surgeons, internists, and intensivists
The use of guided ultrasound for central line placement
and other procedures is quickly becoming the standard
of care in jurisdictions around the world. On Saturday,
May 16, the Dalhousie Department of Anesthesia will
present ``Ultrasound for Basic Anesthesia Practice:
A Standard For The Future?``
This CME-accredited event will demonstrate the utility
of ultrasound in day-to-day anesthesia practice and
will enable participants to identify vascular and
neural structures for central line placement and simple
regional techniques. Skills in scanning, needling,
and probe handling will also be practiced.
The program will begin at 8 a.m. at the Clinical
Skills Center, Bethune Building, VG Site, and will
conclude with an evening dinner and wine tasting at
the Westin Nova Scotian.
For a brochure, agenda and registration materials,
please visit:
http://anesthesia.medicine.dal.ca/education/ultrasound.php
For further information on the safety benefits of
using ultrasound guidance to place central lines,
see ``Use of ultrasound-guided central venous catheter
insertion urged`` on pp. 24-25 of the College
of Physicians and Surgeons of Ontario Dialogue
CAPP to hold next assessment June 8 and 9
The next assessment by the College’s Clinician
Assessment for Practice Program (CAPP) will be held
on Monday, June 8 and Tuesday, June 9.
Potential candidates are reminded that they must undertake
a review of credentials through the College of Physicians
and Surgeons of Nova Scotia prior to a referral to
CAPP.
The review of credentials is an online process that
is available at:
www.cpsns.ns.ca/Registration/credentials-review.htm
IMG physicians who previously attempted the CAPP
assessment and were not successful in being deemed
eligible for defined licensure may now reapply for
a second attempt at the CAPP assessment (Therapeutics
Examination and OSCE) without additional training
approved by the College of Physicians and Surgeons
of Nova Scotia.
Those interested should contact the College’s
Registration Department (see contact information at
the bottom of this newsletter). Please note that limited
space is available for the June 2008 assessment.
CME-Accredited IMG mentoring workshop on May 30
in Halifax
The College of Physicians and Surgeons of Nova Scotia,
in conjunction with the Dalhousie University Department
of Continuing Medical Education, will offer a one-day
workshop for educators/mentors of international medical
graduates. This workshop will address the roles and
expectations of physician mentors/educators.
College guidelines require that all physicians with
a defined license be mentored for the first year of
practice in Nova Scotia. Accordingly, the workshop
will provide mentors and prospective mentors with
an opportunity to acquire useful skills and knowledge,
with a focus on:
1. Providing feedback to IMGs;
2. Developing a practical approach to determine
the learning needs of individual IMGs;
3. Integrating those needs into educational planning;
and
4. Supporting learners to practice reflectively,
to engage in life-long learning, and to assess their
own performance and learning needs.
Facilitator:
Dr. Allyn Walsh, MD, School of Medicine, McMaster
University
Location:
Marion McCain Arts and Social Sciences Building
6135 University Avenue, Halifax, Nova Scotia
Date/ Time:
Saturday, May 30, 2009 from 9:00 a.m. to 4 p.m.
CME Credits:
CME accreditation for this event is pending. Please
contact Sandra Taylor (see below) for more information
Fee:
The workshop is generously funded by a grant from
the Association of Faculties of Medicine of Canada.
There is no fee for attendance.
A light lunch will be provided
Registration:
Please complete the registration form at www.cpsns.ns.ca/IMG-mentoring-registration.pdf
and forward to amombourquette@cpsns.ns.ca
or fax to the attention of Amada Mombourquette at:
(902) 422-7476
For further information contact:
Sandra Taylor, Mentorship Coordinator, College of
Physicians and Surgeons of Nova Scotia.
staylor@cpsns.ns.ca
or fax: (902) 422-7476
NSPAR update
Survey Interpretation Guide Released
Physicians often want to know more about the ratings
they receive from their peers during a review by the
Nova Scotia Physician Achievement Review (NSPAR) program.
To help answer this question, NSPAR organized two
focus groups in 2008 with family physicians and specialists
who had each completed at least two NSPAR reviews
for family physician colleagues.
These 24 physicians reviewed the questions in the
NSPAR family physician questionnaire and described
what behaviours would likely lead them to assign a
high or a low score in each instance. Their comments
reflect the qualities that Nova Scotia physicians
value most in their family physician colleagues, and
are an important resource for family physicians who
wish to get the most out of their NSPAR review.
This feedback has been collected is now available
in a user-friendly Survey
Interpretation Guide that further enhances the
value of an NSPAR report.
Although the research looked specifically at family
physician’s NSPAR reports, the contents of the
Survey Interpretation Guide should also be useful
to specialists when reviewing their NSPAR report.
Pediatrics Version Coming Fall 2009
The Nova Scotia Physician Achievement Review (NSPAR)
will launch its “pediatrics version” in
autumn 2009. This will be the first time that most
pediatric specialties will be included in the program,
and many physicians practicing in a pediatric capacity
will now be eligible to complete the NSPAR review
process.
Approximately 20 physicians with a pediatric-based
practice will be randomly selected to participate
in NSPAR each year beginning in October 2009. Eligible
physicians participate in an NSPAR review at some
point every seven years.
NSPAR is a program of performance assessment and feedback
that provides physicians with practical information
about their practices as viewed by their medical colleagues,
co-workers and patients. Physicians who complete the
review receive a confidential report containing individualized
data and comparisons to the average scores of other
physicians in similar practices.
NSPAR reports for individual physicians are protected
from use or disclosure in any disciplinary process
or legal proceeding. NSPAR fulfils the College’s
obligation under the Nova Scotia Medical Act to conduct
peer assessment. In accordance with the Act, participation
is mandatory, subject to a limited set of exemption
criteria.
A 45-minute presentation and question/answer session
on NSPAR and its extension to pediatrics will be held
at the IWK Health Centre on Tuesday, May 26 at 5:00
p.m. (Parker Reception Room, main floor Women’s
Site, 5980 University Avenue).
Interested physicians are also encouraged to consult
the NSPAR website, www.nspar.ca,
which contains detailed program information.
Non-Insured Health Benefits (NIHB) Program releases
important re. patients at risk of benzodiazepine and
opioid misuse
Editor’s Note:
The following information was supplied by the Non-Insured
Health Benefits (NIHB) Program of Health Canada. Please
forward any questions to the contact at the bottom
of this article.
The Non-Insured Health Benefits (NIHB) Program
of Health Canada provides coverage for a limited
range of health benefits, when they are not insured
elsewhere, to more than 793,000 First Nations and
Inuit. The Program is a national, needs-based health
benefit program that provides coverage for a specified
range of medications, dental care, vision care,
medical supplies and equipment, short-term crisis
intervention mental health counselling, and medical
transportation for eligible First Nations and Inuit
Canadians.
In January 2007, the NIHB Program first implemented
the NIHB PMP with a focus on benzodiazepine and
opioid use in Alberta. The process of how the program
works has changed since its first implementation
(outlined below). The NIHB PMP complements existing
drug use evaluation (DUE) activities within NIHB,
including the point-of-sale “NE” warning
code for benzodiazepines, opioids and methadone
and the quantity limit on acetaminophen. The NIHB
PMP has been reviewed and endorsed by the NIHB Drug
Use Evaluation Advisory Committee (DUEAC), an external
committee made up of physicians and pharmacists.
Further information on the DUEAC can be found on
the NIHB
website.
The NIHB PMP is based on retrospective evaluations
of a client’s benzodiazepine and/or opioid
use against established Program indicators and when
appropriate, places limits on that individual’s
continued access to these medications in cases of
potential overuse. The NIHB Program will reject
payment for claims submitted by pharmacists for
benzodiazepines and/or opioids for clients in the
NIHB PMP at the point-of-sale. Following receipt
of this rejection message, the pharmacist will be
required to contact the NIHB Drug Exception Centre
(DEC) in order to initiate the prior approval process.
At this point, the DEC will fax a letter to the
client through the pharmacy informing the patient
of their placement in the NIHB PMP. They will also
receive a letter to be given to their prescriber
of choice. The NIHB PMP Program requires the client
to find a physician who will agree to be the only
prescriber for benzodiazepine and/or opioid prescriptions
in order for NIHB to continue payment for these
medications.
This letter contains a section that is required
to be completed by the physician and faxed back
to NIHB as soon as possible to facilitate continued
access to the medication. Once NIHB has a sole prescriber
on file with the program, the claims processing
system will be updated accordingly to allow payment
for prescriptions issued by this prescriber. Please
note that the pharmacist will be allowed to dispense
a small amount of the drug (7 day supply) upon approval
by the DEC.
Physicians with questions about this program
are asked to contact Nicole Métivier, BSc Pharm,
at 1-877-559-9986.
Spring lectures to focus on neuroscience funding
and physician communications
The following two free public talks will take place
in the QEII Royal Bank Theatre, Halifax Infirmary,
1796 Summer St.
Funding For Neuroscience Research – Who Should
Pay? How? Why? - Jason Scott Robert, Bioethicist,
Arizona State University. 7:30 p.m, Wednesday, April
29.
Patients’ Voices Matter – What Doctors
Can Learn From Talking With Patients -Mark Bernstein,
Neurosurgeon, University of Toronto. 7:30 p.m, Wednesday,
June 10.
For further information, visit the “Events”
section of www.noveltechethics.ca
CME-Accredited Blood Management Meeting April 18-19
The Perioperative Blood Management Program, a satellite
program of the Department of Anesthesia at Capital
Health, is hosting a CME Regional Blood Management
Meeting on April 18 and 19 at the Prince George Hotel
at 1725 Market St. in Halifax.
International and local presenters will speak on
a number of topics related to anesthesia, surgery,
obstetrics, blood component/product utilization and
blood management strategies.
For more information and registration forms please
visit: http://anesthesia.medicine.dal.ca/education/regional-blood.php.
MedEffect Canada provides essential safety information
to health care providers and patients
MedEffect Canada is a federal government program that
provides centralized access to safety information
about marketed health products in an easy-to-find,
easy-to-remember location.
The program provides access to the latest advisories,
warnings, and recalls issued by Health Canada concerning
therapeutic drugs as well as other marketed health
products, including natural health products and medical
devices.
MedEffect Canada is available at www.healthcanada.gc.ca/medeffect.
Change of name, address or e-mail?
The College depends solely on submissions from members
to keep its address information up to date. For members'
protection, the College requires that change requests
be submitted in writing. Address changes submitted
by e-mail are acceptable if the e-mail is sent from
the e-mail address the College has on record for the
member.
Third-party change requests are not accepted. Name
changes must be accompanied by the appropriate legal
documentation. Address or name changes can also be
submitted on an Address or Name Change Notification
Form, which is available on the website at http://www.cpsns.ns.ca/address-name-change-form.htm
or by contacting the College by phone at (902) 422-5823
or toll-free in Nova Scotia 1-877-282-7767, by fax
at 902-422-5035, or by e-mail at registration@cpsns.ns.ca.
How to contact the College
A complete list of College contacts is available
HERE.
