Digital Health for Boards Online Course

Expression of Interest (EOI) form

Digital Health for Boards is an online training course to educate senior Board members and improve digital health awareness amongst executives.
If you are interested in this course, and would like to know more, please complete this EOI form.

Information collected in this form will be used to communicate information about digital health course options.

Question Title

* Name

Title

First Name

Last Name

Question Title

* Contact Information
(if not in Australia, please list country)

Phone Number
(incl. area code)

State

Question Title

* Professional Information

Job Title

Organisation

Current Board appointment(s)

Question Title

* Industry Category

Aged Care

Allied Health & Dental

Associations

Community Healthcare

Consulting

Consumer

Education

Financial / Investment / Legal

Government - Federal

Government - State

Hospital - Private

Hospital - Public

Imaging

Insurance

Media

Other Healthcare Provider Organisation

Pathology

Pharmaceutical (not pharmacy)

Primary Care

Public Health

Research

Specialist

Technology

Digital Health for Boards Online Course

Expression of Interest (EOI) form

Question Title

* Name

Question Title

* Contact Information(if not in Australia, please list country)

Question Title

* Professional Information

Question Title

* Industry Category

* Contact Information
(if not in Australia, please list country)