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BC COLLEGE OF NURSES AND MIDWIVES (British Columbia College of Nurses & Midwives)

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As of Sept. 1, 2020, the British Columbia College of Nursing Professionals
(BCCNP) and the College of Midwives of British Columbia (CMBC)
amalgamated to create a new regulatory body:
British Columbia College of Nurses and Midwives (BCCNM)
The document you are about to access reflects our most current infor-
mation about this topic, but you’ll notice the content refers to the
previous regulatory college that published this document prior to
Sept. 1, 2020.
We appreciate your patience while we work towards updating all of our
documents to reflect our new name and brand.
BC COLLEGE OF NURSES AND MIDWIVES
Contact us
GENERAL INQUIRIES
604.742.6200
1.866.880.7101 toll-free within
Canada only
info@bccnm.ca
REGISTRATION
register@bccnm.ca
registermidwives@bccnm.ca
REGULATORY POLICY &
PROGRAMS
practice@bccnm.ca
COMPLAINTS
complaints@bccnm.ca
Fax 604.899. 0794
First Approved Version: September 25, 2017
Current Approved Version: September 25, 2017
Alternate Practice Arrangement Application Form
Page 1 of 2
APPLICATION TO JOIN AN EXISTING ALTERNATE
PRACTICE ARRANGEMENT
This form is to be completed by midwives who wish to join an existing Alternate Practice
Arrangement (APA). For more information, please refer to the Policy on Alternate Practice
Arrangements.
A. Mi
dwife Information
Date:
Name:
Registration Number:
APA Practice Name:
APA Practice Address:
APA Practice Partners:
B. S
tandards of Practice Deviations
1. Please list any new competencies, skills and/or knowledge that you will gain while working in
an APA that may be useful to midwifery practice if and when you return to the Standard
Model? (.)
Alternate Practice Arrangement Application Form
Page 2 of 2
2. Please list any competencies, skills and/or knowledge that may require support to regain if
and when you return to the Standard Model? (e.g. home birth services, postpartum care,
etc.)
C. D
eclaration
□ I agree to inform my clients that the midwifery care they are receiving is within the context of
an Alternate Practice Arrangement.
□ I have reviewed CMBC’s Policy on Alternate Practice Arrangements, Midwives Regulations,
and Bylaws for the College of Midwives of BC, and agree to provide care consistent with the
standards outlined in these documents.
________
___________ ____________________ ________________
Name Signature Date
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Completed 27 February 2021

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