Palliative Care Training Day

Workshop 1 (10am - 12pm): Are YOU ready? Implications on the significant changes to the law on Consent for Medical Treatment scheduled 12 Mar 2018.

Workshop 2 (1pm - 4pm): Abnormal mental states and palliative care

When you complete the details below you will be registered to attend.

We will contact you via email to confirm your registration and to provide further details (map to the venue, parking, etc) approximately 1 week prior to the meeting date.

Thank you.

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* 1. What is your name?

First name

Last name

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* 2. Where do you work?

Name of service/organisation

Street address

Suburb

Post code

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* 3. Which workshop would you like to register for?

Workshop 1: Are YOU ready? Changes to the law on Consent for Medical Treatment

Workshop 2: Abnormal mental states and palliative care

Both (note: these workshops are both on 5 Dec 2017

Question Title

* 4. What type of service do you work for?

Acute hospital

Aged care

Community health

Community palliative care

Disability

In-patient palliative care

Palliative care consultancy

Private practice

Other (please specify)

Question Title

* 5. Which best describes your profession?

Administration

Counsellor/family therapist

Disability support worker

Enrolled nurse (EN)

General practitioner

Music/Art therapist

Occupational therapist

Pastoral care worker

Personal care attendant (aged care facility)

Pharmacist

Physiotherapist

Psychologist

Registered nurse (RN)

Social worker

Specialist doctor

Speech pathologist

Trainer/educator

Facility Manager

Other (please specify)

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* 6. What is your role/title i.e. CNC, Unit Manager

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* 7. At what email address would you like to be contacted?

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* 8. At what telephone number do you prefer to be contacted?

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* 9. Have you undertaken a PEPA Placement?

Yes

If yes, what year was it completed?

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* 10. Would you like to receive the SMRPCC's monthly email update?

Yes, please email to the address provided at Q.9

No, thank you

Yes, please email to: