EOI Application: Advances in Vestibular Rehabilitation: A Competency Based Renewal Course

Frankston, Victoria: Saturday 22 - Monday 24 February 2020

This survey serves as a pre-screening to your enrollment into the Advances in Vestibular Rehabilitation Competency renewal course. This course requires you to have completed and passed the Vestibular Rehabilitation: Competency-Based Course.

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* 1. Your details

Name

City/Town

State/Province

Email Address

Phone Number

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* 2. Please indicate your qualification

Physiotherapy

Occupational Therapist

Other (please specify)

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* 3. Please select the area/s that you predominately practise in? (select all that apply)

Neurology

Gerontology

Musculoskeletal

Sports

General practice

Other (please specify)

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* 4. What year did you successfully complete and achieve competency in the Basic Vestibular Rehabilitation: A Competency based course?

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* 5. Please upload your certificate of competency you have received for successfully completing the Vestibular Rehabilitation: A Competency-Based course

Please save your certificate with your full name as the document title. Only PDF, DOC, DOCX, PNG, JPG and JPEG files are supported.

DOCX, DOC, JPEG, JPG, PDF, PNG file types only.

Choose File