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Registration | Type 2 Diabetes ECHO Series | 2023
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1.
By checking this box, I indicate that by registering to attend the Type 2 Diabetes ECHO sessions, that I also consent to my personal information being stored, and my image being recorded for the purposes of recording attendance and quality improvement.
(Required.)
Yes - I consent as above
*
2.
Registration Details
Only registrations from people living or working within Western NSW Primary Health Network region are accepted for this event.
(Required.)
First Name
Surname
Workplace Name
Workplace City/Town
Email Address (all ECHO correspondence will be sent to address supplied)
Mobile Number (you may receive SMS reminders about ECHO session dates)
*
3.
Profession/Role:
(Required.)
GP
GP Registrar
Nurse (General Practice)
Nurse (Outside General Practice)
Aboriginal Health Professional
Allied Health Professional
Pharmacist
Paramedic
Other (please specify below)
Other:
4.
For GPs/GP Registrars Only - Enter your RACGP/ACRRM member number:
*
5.
Please choose the 2023 date(s) you wish to attend, and indicate if you would like to present a patient case on that date/dates.
ECHO relies on participants being willing to share a case with the panel and other participants. Cases that involve common clinical scenarios related to diagnosis and care as well as complex or challenging presentations are all welcome.
If you'd like a case template to work from,
Click here
to access the Case Presentation online form - a new window will open.
(Required.)
Attending
I'd like to present a case on this date
March 1
-- Select an option --
Yes
-- Select an option --
Yes
No
March 15
-- Select an option --
Yes
-- Select an option --
Yes
No
March 29
-- Select an option --
Yes
-- Select an option --
Yes
No
Complete your registration by clicking the
Click to submit your Registration
button below.
A link to join the ECHO meetings will be sent to you prior to the session you've registered for.
If you have any queries please
contact us
Please note that registrations made after 5pm on the day of a session need to be made via SMS to 0437 450 592.