Skip to content
VAHPA Advanced Scope Workshop Registrations 2017
*
1.
Your details.
(Required.)
First Name
Family Name
Mobile
Non-work Email
Profession
Position Title
Grade
2.
Primary Public Sector Employer
Albury Wodonga Health
Alexandra District Hospital
Alfred Health
Alpine Health
Austin Health
Bairnsdale Regional Health
Ballarat Health
Barwon Health
Bass Coast Regional Health
Beaufort & Skipton Health Service
Benalla Health Service
Bendigo Health
Calvary Health
Castlemaine Health
Central Gippsland Health
Cobram District Health
Cohuna District Health
Colac Area Health
Dental Health Service
Djerriwarrh Health Service
Dunmunkle Health Service
East Grampians Health
East Wimmera Health Service
Eastern Health
Echuca Regional Health
Edenhope & District Memorial Hospital
Gippsland Southern Health Service
Goulburn Valley Health
Heathcote Health
Hepburn Health Service
Hesse Rural Health Service
Heywood Rural Health
Inglewood & District Health Service
Kerang District Health
Kilmore & District Health
Kooweerup Regional Health Service
Kyabram & District Health Service
Kyneton District Health Service
Latrobe Regional Hospital
Lorne Community Hospital
Maldon Hospital
Mallee Track Health & Community Service
Mansfield District Hospital
Maryborough District Health Service
Melbourne Health
Mercy Health
Mildura Base Hospital
Monash Health
Mayne Health Service
Natalia District Hospital
Northeast Health Wangaratta
Northern Health
Numurka District Health Service
Omeo District Health
Orbost Regional Health
Otway Health & Community Service
Peninsula Health
Peter Mac
Portland District Health
Robinvale District Health Service
Rochester & Elmore District Health Service
Royal Children's
RVEEH
Rural Northwest Health
Seymour Health
South Gippsland Hospital
South West Healthcare
St Vincent's
Stawell Regional Health
Sunbury Community Health
Swan Hill District Health
Tallangatta Health Service
Terang & Mortlake Health Service
Timboon & District Health Care Service
Upper Murray Health & Community Services
West Gippsland Healthcare Group
Western Health
Wimmera Health Care Group
Yarram & District Health Service
Yarrawonga District Health Service
Yea & District Memorial Hospital
The Women's
Other (please specify)
3.
Please indicate which Advanced Scope workshop you would like to attend; both workshops will be afternoon sessions and exact times and venue details will be advised shortly.
Stream Details
Therapeutic & Clinical Stream
: AHDs, EPs, Music Therapists, OTs, Orientation & Mobility Practitioners, Orthoptists, Physios, Play Therapists, Podiatrists, Prosthetists/Orthotists, Speech Pathologists.
Radiation & Imaging Stream
: Bone Densitometrists, Mammographers, Medical Officers, MITs, NMTs, Radiation Engineers, RTs, Sonographers.
Therapeutic & Clinical Stream Workshop - Tuesday 2 May, 2017
Radiation & Imaging Stream Workshop - Thursday 1 June, 2017
4.
If you are a regional Delegate, do you require assistance with travel and/or accommodation?
Yes (Please provide details below)
No
Other (please specify)
5.
Do you have any dietary requirements or restrictions?
No
Yes - Please specify
6.
Do you have any questions?
7.
Office Use Only
1 - Letter & confirmation emailed
Other (please specify)