Panel Development Incentive Claim Form #2 - Phase 1 & 2 Completion

This form is only for GPs working with the PDF version of the Panel Management Workbook. The GPSC will be accepting PDF versions of the Workbook until September 30, 2020. After this date, only online versions of the Workbook will be accepted. For all Workbooks started on or after June 10, 2019, please submit your Panel Development Incentive claim requests from within the online Workbook.

You must complete and submit this form to claim the second payment of the Panel Development Incentive. Before completing this form, please ensure that you have submitted Claim Form #1 of the Panel Development Incentive. This form cannot be submitted before you have submitted Claim Form #1. If you have any questions or problems regarding the completion of this form or about the Panel Development Incentive, please email

The GPSC collects and uses information to support: education; mentoring and quality improvement training; practice supports; ongoing learning and capacity building; development of new programs, services and resources; and evaluation and reporting purposes. Information received is owned and stored at Doctors of BC with access limited to authorized Doctors of BC staff. Under BC privacy legislation, GPSC members, Ministry of Health staff/official and Health Authority staff do not have access to individual or identifiable data except with the explicit consent of the participating physician. Without such consent, they only have access to aggregate evaluation and quality improvement reports prepared by authorized Doctors of BC staff. The GPSC is subject to and complies with the BC Personal Information Protection Act. For more information, contact

Contact Information

Clinic for Panel Management

Eligibility Requirements (Commitment)

Eligibility Requirements (Phase 1 & 2)

Eligibility Requirements (Phase 3)

Conditions of Acceptance