REGISTRATION
Information Session
The New Far West LHD e-Referral System
2024

Thank you for registering for this virtual information session.

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* Your details

First Name *

Last Name *

Primary workplace

Town *

Preferred Email Address *

Mobile Number *

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* Profession:

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* What session would you like to attend?

Monday, 29 April - 12noon

Monday, 29 April - 6pm

Monday, 6 May - 12 noon

Monday, 6 May - 6pm

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* Upon registration, do you agree for the WNSW PHN to directly add your preferred email address to this Teams meeting?
(enabling us to send you a meeting invitation to save into your calendar)

Yes

No (you will be sent a Meeting Link via email)

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* By checking the following tick box you submit your information to the Western NSW Primary Health Network (WNSW PHN), as the event organiser, who will use it to communicate with you via relevant registration and distribution lists regarding this event and other services. You also consent to being filmed, photographed and/or recorded by WNSW PHN and/or our identified event partner(s). Any recorded material may then be used for online, social media, marketing or promotional purposes.

I consent

I do not consent (please email cpd@wnswphn.org.au prior to the event stating your preference NOT TO BE PHOTOGRAPHED or if you wish to UNSUBSCRIBE your email address from the WNSW PHN Education Program's distribution lists - this will stop all future event communication and flyers being sent to you)

Thank you for supporting this
Western NSW Primary Health Network (WNSW PHN) &
Western NSW LHD (WNSW LHD) information session

We look forward to welcoming you to this session

Your assistance in sharing the event flyer with relevant colleagues and communication networks is appreciated

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100% of survey complete.

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* Your details

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* Profession:

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* What session would you like to attend?

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* Upon registration, do you agree for the WNSW PHN to directly add your preferred email address to this Teams meeting? (enabling us to send you a meeting invitation to save into your calendar)

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Question Title

* Upon registration, do you agree for the WNSW PHN to directly add your preferred email address to this Teams meeting?
(enabling us to send you a meeting invitation to save into your calendar)