CRNA Application: Fitness to Practise Self-Assessment Form Required

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Registration #{{RegistrationNumber}}

Hello {{RegistrantFirstName}},

We have received your Assessment of Fitness to Practise form from your physician.

Also, please complete the attached Self-Assessment of Fitness to Practise form to provide further information on your ability to return to safe practice.

Please send your response, or any questions, to casemanagement@nurses.ab.ca. Ensure you include your CRNA registration number with all email correspondence.

Thank you,

Case Management Team
W 1.800.252.9392
E casemanagement@nurses.ab.ca
College of Registered Nurses of Alberta
nurses.ab.ca