14 June 2018 - Eating Disorders Interest Group - Registration

Description
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Topic: Eating Disorders in Children & Adolescents
Speaker: Dr Julie Adamson
Exploring the multidisciplinary approach to assessment of a patient with an eating disorder.

Location and Time
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Muloobinba Room, HNECCPHN - Newcastle Office, Suite 11/125 Bull St, Newcastle West
Time: 6.30pm - 8.30pm

Fill in the form below to register for this event
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Question Title

* 1. Contact Details

Name: *

Email Address: *

Phone Number:

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* 2. I am a:

General Practitioner

GP Trainee

Specialist

Nurse

Health Student

Allied Health Practitioner (please specify)

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* 3. I wish to:

attend the meeting in person

Skype (link will be provided if checked)

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* 4. Would you like dinner on the evening? ($10 payable on the night)

Yes

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* 5. Do you follow any of the these dietary restrictions? (Please select all that apply.)

Vegetarian

Gluten Free

Food Allergy (please advise below)

Food Allergy (please specify)

14 June 2018 - Eating Disorders Interest Group - Registration

Question Title

* 1. Contact Details

Question Title

* 2. I am a:

Question Title

* 3. I wish to:

Question Title

* 4. Would you like dinner on the evening? ($10 payable on the night)

Question Title

* 5. Do you follow any of the these dietary restrictions? (Please select all that apply.)

Question Title

* 6. Are there any questions you would like to be addressed at this event?