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THN Telehealth Toolkit
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1.
Your Details
(Required.)
First Name
Surname
Email Address
Position
Organisation
2.
Type of Organisation
Public Health
Private Dialysis
Other (please specify)
*
3.
How did you hear about The HOME Network?
(Required.)
Search Engine
Website
Email
Newsletter
Conference
Word of Mouth
Other (please specify)
*
4.
How did you hear about the THN Telehealth Toolkit?
(Required.)
Search Engine
Website
Email
Newsletter
Conference
Word of Mouth
Other (please specify)
*
5.
Why are you interested in downloading the THN Telehealth Toolkit?
(Required.)
For Clinical Use
Personal Interest
Vendor interested in technology for the sector
Provider looking for strategic direction
Policy maker
Other (please specify)
