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WNSW PHN ECHO Network: Pain Management Series | 2022
Registration
Registration details
*
1.
By checking this box, I indicate that by registering to attend the WNSWPHN 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.
If you are registering to attend a session at short notice (i.e., after 3pm the day of the session), please call 0437 450 592 to ensure your registration is processed before the session commences. Registrations after 6.00pm on the day of a session will be unable to be accepted.
(Required.)
First Name
Surname
Workplace Name
Workplace Street Address
Workplace City/Town
Workplace State
Workplace Postcode
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 member number:
*
5.
Please tick the ECHO Network session(s) you plan to attend:
(Required.)
ALL sessions
March 9
March 23
April 6
April 27
May 11
6.
ECHO relies on participants being willing to share a case with the panel and other participants. We welcome cases that involve common clinical scenarios related to diagnosis and care as well as difficult, complex, or challenging presentations. If you are interested in presenting a case, please select your preferred date/dates to present. The ECHO coordinator will contact you to confirm your presentation date.
Click here to access the Case Presentation online form - a new window will open
Any session
March 9
March 23
April 6
April 27
May 11
Thank you
for supporting this Western NSW Primary Health Network CPD initiative!
If you have any queries please
contact us
