REGISTRATION - 4 August 2020 - Ear Pathology and Wax Management

Ear Pathology & Wax Management

Description
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Complemented by On-Line Competency Based Course in Ear Irrigation which includes an Exam

Certificate of Completion will be provided after attendance at Workshop and participation in Online Course

Location and Time
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VENUE: Brunker Road Medical Centre, 1/282 Brunker Road Adamstown - park in car park in Date Street
6pm for light refreshments, 6.30-8.30pm Meeting

Fill in the form below to register for this event
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Question Title

* 1. Contact Details

Title

Given Name

Surname

Email Address

Mobile Number

Surgery Name

Question Title

* 2. QA/ACRRM number ( if applicable)

Question Title

* 3. I am a:

General Practitioner

Nurse

Practice Manager

Administrator or Clerical Staff

Allied Health Professional (please specify)

Question Title

* 4. Do you follow any of the these dietary restrictions? (Please select all that apply.)

Vegetarian

Gluten Free

Food Allergy (please advise below)

Food Allergy (please specify)

REGISTRATION - 4 August 2020 - Ear Pathology and Wax Management

Question Title

* 1. Contact Details

Question Title

* 2. QA/ACRRM number ( if applicable)

Question Title

* 3. I am a:

Question Title

* 4. Do you follow any of the these dietary restrictions? (Please select all that apply.)

Question Title

* 5. Are there any questions you would like to be addressed at this event?