Membership Committee Portal
ID#: 31170 -- Laurie Boyle - Student
ID#: 31050 -- Ken Chavarie - Student
ID#: 30990 -- Sarah Shaw - Student - IJOM
ID#: 31158 -- Karli Swatridge - Student
Laurie Boyle - Student |
1. PERSONAL INFORMATION: Prefix: First Name: Laurie Middle Name: LaCombe Last Name: Boyle |
2. OSTEOPATHIC EDUCATIONAL BACKGROUND |
3. WHAT WAS YOUR LANGUAGE OF OSTEOPATHIC INSTRUCTION: English |
OTHER MEMBERSHIPS |
Other Body - Current: No Other Body - Previous: No |
REGULATORY BODIES |
Body Name: Registration Date: Registry Name: Prov/Ctry: , Reg#: URL: |
Body Name: Registration Date: Registry Name: Prov/Ctry: , Reg#: URL: |
DECLARATIONS |
Yes: Provide the OAO within 30 days with details of any current change, proceedings or finding of guilt for a criminal offence in any jurisdiction and a current charge, proceeding or finding of negligence, professional misconduct, incompetency or incapacity in any jurisdiction, arising from osteopathic practice or any other health profession. |
Yes: Advise the OAO within 30 days of any changes in personal information, work details or liability insurance Coverage |
Yes: I hereby certify that the statements made in this application, including any attachments are true and correct to the best of my knowledge and belief. I understand that even one false or misleading statement may disqualify me from membership or may cause for revocation of membership that has been granted to me. I authorize the OAO to make inquiries to verify the information provided. |
FEES PAID |
Fees: $0.00 |
Fees PAID: No |
Ken Chavarie - Student |
1. PERSONAL INFORMATION: Prefix: Mr First Name: Ken Middle Name: Gordon Last Name: Chavarie |
2. OSTEOPATHIC EDUCATIONAL BACKGROUND |
3. WHAT WAS YOUR LANGUAGE OF OSTEOPATHIC INSTRUCTION: English |
OTHER MEMBERSHIPS |
Other Body - Current: No Other Body - Previous: No |
REGULATORY BODIES |
Body Name: Registration Date: Registry Name: Prov/Ctry: , Reg#: URL: |
Body Name: Registration Date: Registry Name: Prov/Ctry: , Reg#: URL: |
DECLARATIONS |
Yes: Provide the OAO within 30 days with details of any current change, proceedings or finding of guilt for a criminal offence in any jurisdiction and a current charge, proceeding or finding of negligence, professional misconduct, incompetency or incapacity in any jurisdiction, arising from osteopathic practice or any other health profession. |
Yes: Advise the OAO within 30 days of any changes in personal information, work details or liability insurance Coverage |
Yes: I hereby certify that the statements made in this application, including any attachments are true and correct to the best of my knowledge and belief. I understand that even one false or misleading statement may disqualify me from membership or may cause for revocation of membership that has been granted to me. I authorize the OAO to make inquiries to verify the information provided. |
FEES PAID |
Fees: $0.00 |
Fees PAID: No |
Sarah Shaw - Student - IJOM |
1. PERSONAL INFORMATION: Prefix: Ms First Name: Sarah Middle Name: Last Name: Shaw |
2. OSTEOPATHIC EDUCATIONAL BACKGROUND |
3. WHAT WAS YOUR LANGUAGE OF OSTEOPATHIC INSTRUCTION: English |
OTHER MEMBERSHIPS |
Other Body - Current: Yes Other Body - Previous: No |
REGULATORY BODIES |
Body Name: Registration Date: 01/08/2018 Registry Name: Sarah Shaw Prov/Ctry: ON, Canada Reg#: W426 URL: |
Body Name: Registration Date: Registry Name: Prov/Ctry: , Reg#: URL: |
DECLARATIONS |
Yes: Provide the OAO within 30 days with details of any current change, proceedings or finding of guilt for a criminal offence in any jurisdiction and a current charge, proceeding or finding of negligence, professional misconduct, incompetency or incapacity in any jurisdiction, arising from osteopathic practice or any other health profession. |
Yes: Advise the OAO within 30 days of any changes in personal information, work details or liability insurance Coverage |
Yes: I hereby certify that the statements made in this application, including any attachments are true and correct to the best of my knowledge and belief. I understand that even one false or misleading statement may disqualify me from membership or may cause for revocation of membership that has been granted to me. I authorize the OAO to make inquiries to verify the information provided. |
FEES PAID |
Fees: $200.00 (plus tax) |
Fees PAID: No |
Karli Swatridge - Student |
1. PERSONAL INFORMATION: Prefix: Ms First Name: Karli Middle Name: Last Name: Swatridge |
2. OSTEOPATHIC EDUCATIONAL BACKGROUND |
3. WHAT WAS YOUR LANGUAGE OF OSTEOPATHIC INSTRUCTION: English |
OTHER MEMBERSHIPS |
Other Body - Current: Yes Other Body - Previous: No |
REGULATORY BODIES |
Body Name: College of Massage Therapists of Ontario Registration Date: 07/24/2015 Registry Name: Karli Jane Swatridge Prov/Ctry: ON, Canada Reg#: U339 URL: https://www.cmto.com/find-a-registered-massage-therapist/ |
Body Name: Registration Date: Registry Name: Prov/Ctry: , Reg#: URL: |
DECLARATIONS |
Yes: Provide the OAO within 30 days with details of any current change, proceedings or finding of guilt for a criminal offence in any jurisdiction and a current charge, proceeding or finding of negligence, professional misconduct, incompetency or incapacity in any jurisdiction, arising from osteopathic practice or any other health profession. |
Yes: Advise the OAO within 30 days of any changes in personal information, work details or liability insurance Coverage |
Yes: I hereby certify that the statements made in this application, including any attachments are true and correct to the best of my knowledge and belief. I understand that even one false or misleading statement may disqualify me from membership or may cause for revocation of membership that has been granted to me. I authorize the OAO to make inquiries to verify the information provided. |
FEES PAID |
Fees: $0.00 |
Fees PAID: No |
The Ontario Association of Osteopathic Manual Practitioners is committed to promoting the highest, safest level of osteopathic manual practice.
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416.968.2563