10th Child and Youth Mental Health and Substance Use (CYMHSU) Community of Practice Gathering
Registration Form
Name:
*
First Name
Last Name
Email Address:
*
What is your primary role?
*
Family physician
Specialist physician
Health authority representative
Allied Health professional
Ministry representative
Doctors of BC staff
Other
What community are you supporting?
*
First Nations Health Authority
Fraser Health Authority
Interior Health Authority
Island Health Authority
Northern Health Authority
Providence Health Care
Provincial Health Services Authority
Vancouver Coastal Health Authority
Not applicable
Which city are you based in British Columbia?
*
I live in Metro Vancouver - Vancouver, North Vancouver, West Vancouver, Richmond, Delta, Burnaby, New Westminster, Coquitlam, Port Coquitlam, White Rock, Surrey, Maple Ridge, Langley, Port Moody, Anmore, and Belcarra.
*
I acknowledge that my accommodation at the event will not be reimbursed in accordance with Doctors of BC's expense policy. (Note: you are still eligible for the Doctors of BC discounted hotel room rate.)
N/A
I live outside of Metro Vancouver (cities listed in above question) and will book accommodation for below date(s).
*
April 16, 2026
April 17, 2026 (Pending on approval by the CYMHSU team)
N/A
Do you have any dietary restrictions? Vegan, vegetarian, gluten free, kosher, halal, or allergies etc.
Do you have any accessibility requirements or other information to share with us that we should be aware of?
Photography will be taken throughout the Event. I give consent for Doctors of BC to capture my image with the possibility of it being used in promotional materials.
*
Please Select
Yes, I consent
No, I do not consent
Submit
Should be Empty: