Foundations Module: Strangulation (Health Professionals)

Booking Form - Free (donated) session

This booking form is to secure a place at the 90 minute virtual session of the Foundations Module: Understanding and responding to strangulation

Structure: 90min virtual session = 60mins Module (digital format (video)) + 30mins Q&A - Danielle Allen
The digital content has been developed by international and local subject matter experts and people with lived experience. The material contains experiences of and resistance and responses to violence and abuse. It also contains artwork, animation, text and voice overs.

Insight Exchange will send a booking confirmation of the session date/time and the zoom link for the session.

Note: While Insight Exchange fully supports lifelong learning via continuous professional development (CPD), we don’t provide individual evidence of attendance.

If you have questions about the booking or opportunity please contact the team.

The Insight Exchange Team
contact@insightexhange.net

Question Title

* 1. Booking Details

Full Name:

Organisation

Role:

Email (we require this to confirm your booking and link to the session):

Question Title

* 2. Select one from the session list below:

Optometrists - Wed 1st March 2023 | 7:30am – 9am (AEDT)

Dentists - Thu 9th March 2023 | 7:30am – 9am (AEDT)

GPs - Mon 13th March 2023 | 6pm – 7:30pm (AEDT)

Radiologists - Tue 21st March 2023 | 7:30am – 9am (AEDT)

Physiotherapists - Wed 22nd March 2023 | 7:30am – 9am (AEDT)

Occupational Therapists - Thu 23rd March 2023 | 12:30 – 2pm (AEDT)

AOD Services | Thursday 23rd March 2023 | 6pm – 7:30pm (AEDT)

Women's Health Services | Thu 30th March 2023 | 7:30am – 9am (AEDT)

Pathologists - Mon 3rd April 2023 | 6pm – 7:30pm (AEST)

Dieticians - Tue 18th April 2023 | 12:30 – 2pm (AEST)

Speech Pathologists - Thu 20th April 2023 | 12:30pm – 2pm (AEST)

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* 3. I give consent for Insight Exchange to:

	Yes	No
Name the organisation (not my name) that I work for	Name the organisation (not my name) that I work for Yes	Name the organisation (not my name) that I work for No
Contact me to learn more about the value of session	Contact me to learn more about the value of session Yes	Contact me to learn more about the value of session No
Include me in the circulation of Insight Exchange updates (re new resources/content)	Include me in the circulation of Insight Exchange updates (re new resources/content) Yes	Include me in the circulation of Insight Exchange updates (re new resources/content) No