Quality Improvement Activity Registration Form

Register by filling out your practice details in the form. Once registered, access the guiding template to begin your chosen activity.

Name(Required)

First Last

Email(Required)

Occupation(Required)

Practice name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Estimated activity start date:(Required)

Please indicate which PDSA activity topic you would like to enrol in

Improve recording of alcohol status documentation

Improve recording of weight classification (BMI)

Improve recording of smoking status

Improve participation in iFOBT screening (ages 45-74) via reminder prompt

Improve participation in cervical screening (ages 25-74) via reminder prompt

Improve participation in breast cancer screening (ages 50-74) via reminder prompt

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