Online Application Form

Please complete the form below to submit your application for membership of the BC Podiatric Medical Association (BCPMA). Please ensure to complete all fields that are required. Any questions, please contact the BCPMA office at 604.985.3338 or email info@bcpodiatrists.ca

Step 1 - Contact Information

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

Add Additional Location
Step 2 - Membership Category

Please select membership type(s).

BCPMA Member
(Please note GST is charged for the BCPMA Dues)		 $725.00
CPMA Membership Dues
(Please note GST is charged for the CPMA Dues)
(These dues are collected on behalf of CPMA)		 $350.00
Step 3 - Physician Locator Information
Are you accepting new patients?
Do you provide surgery?
Do you provide laser procedures?
Is your office wheelchair accessible?
Do you make house calls?
Step 4 - Billing Information
Step 5 - Payment

Method of Payment

Credit Card charges will appear as "CongressWorld" on your statement and converted to your currency.
3 or 4 digit code on the back

Send a Cheque

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

Mailing Address:
BC Podiatric Medical Association (BCPMA)
1087 Roosevelt Crescent
North Vancouver, BC V7P 1M4
Step 6 - Terms of Service
Cancellation and Refund Policy: If you request a cancellation up to 30 days after your membership application and payment has been received at the BCPMA office, a refund will be issued, less a processing fee of CAD $100.00. Cancellation must be received in writing at the BCPMA office.
Step 7 - Privacy Policy
Send Registration