Collaborative Mentoring Networks Regional Meeting - March 29, 2018 - Kitchener, Ontario

Thank you for your interest in attending the CMHN/MMAP Regional Meeting in Kitchener at the Holiday Inn Kitchener Waterloo Hotel & Conference Centre (30 Fairway Road South, Kitchener) on Thursday, March 29th.

The Ontario College of Family Physician's CMHN and MMAP Networks link family physicians to mental health, addictions and pain mentors in a collaborative relationship to support easy access to case-by-case support and ongoing continuing professional development regarding mental health, addictions and pain care. Join us for this regional meeting that will help you in your everyday management of complex care issues. You will learn about local community resources and practical applications to support you in the delivery of care.

This conference is sponsored by the Ontario College of Family Physicians (OCFP) and made possible through funding from the Ontario Ministry of Health and Long-Term Care.

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* 1. What is your profession?

Family Physician

General Practitioner

Psychiatrist

Resident/Student

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* 2. Please provide us with your contact information below.

Full Name:

Email Address:

Association/Organization:

Address:

City:

Province:

Postal Code:

Phone Number:

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* 3. Do you have any dietary restrictions?

Yes

If Yes, (please specify)

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* 1. What is your profession?

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* 2. Please provide us with your contact information below.

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* 3. Do you have any dietary restrictions?

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* 4. How did you learn about this Regional Meeting?