Black Physicians of Canada

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Thank you for your interest in becoming a BPC ally member. Membership will be extended to allies during the next phase of organizational expansion.

If you’re interested in becoming a BPC ally, please provide your contact information below and we will notify you once this membership category becomes available.

Thank you for your patience!

Email *

Full Name *

Gender *

Male

Female

Prefer not to disclose

Other:

Profession *

Medical Student

Resident

Fellow

Attending Physician

Retired Physician

Other:

Specialty (if applicable)

University *

City *

Province *

Do you have any specific concerns, comments, questions, or initiatives you would like to address specifically regarding anti-Black racism within Canadian healthcare? *

Do you identify as Black? *

Yes

A copy of your responses will be emailed to the address you provided.

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