Visiting Clinical Professor Visit Request Form

Access MY CAG by logging in below:

Visiting Clinical Professor Visit Request Form

Thank you for your interest in the Visiting Clinical Professor. Please fill out the required information below.

NOTE: This online form must be completed in one single session. This form cannot save your information to return to at a later time.

2023 CAG Visiting Clinical Professor

FRANCES TSE, MD, MPH, FRCPC, CAGF, AGAF

Professor of Medicine, Division of Gastroenterology, McMaster University

Head of Service, Gastroenterology, Hamilton Health Sciences

Click HERE to read Dr. Tse's Biography

Visit Request Information

Please submit this form if you are interested in having Dr. Tse visit your centre.

Full Name(*)

Please enter your full name

Hospital/Location(*)

Please enter the hospital/location

Email(*)

Please enter a valid email address

Preferred Time of Year

Preferred Day of the Week

Additional Comments

Please ensure that all required fields are filled out correctly.

Upon successful submission, you will be redirected to a confirmation webpage and will receive an email from us. If this does not occur, please contact the CAG National Office.

NOTE: Do not close your browser or use the back button until redirected to the "Thank You" screen, confirming successful submission.