Parental Leave Program forms

Claim the benefit:

  • Each eligible physician parent must complete an application form
  • You must submit your application within 18 weeks of the delivery or adoption placement date.
  • Apply online now

Alternatively, you may submit a PDF version of this form.

  • If submitting PDF version of the form, please print and mail, fax or scan the form with a void cheque to Deanna Longmuir

Alberta Medical Association Mission: Advocate for and support Alberta physicians. Strengthen their leadership in the provision of sustainable quality care.