The Blood Service in collaboration with Tasmanian Health Service has developed a Patient Blood Management (PBM) Pack to promote patient blood management and deliver education materials to senior medical officers, registrars, fellows and consultants.

Please use this form as an expression of interest if you wish for the PBM packs to be printed and available at your local health service. However, this EOI does not guarantee that PBM packs will be available as printed hard copies.

Completing this form is voluntary. The information you provide may be subject to research and statistical reporting. We comply with the Privacy Act 1988 and, as such, any information obtained in connection with this survey that can be identified with you, will remain confidential and will be disclosed only with your permission or except as required by law.

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* 1. Name (First name, Surname)

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* 2. Email address

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* 3. Delivery address

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* 4. Which JMO education tools are you interested in? Select all that apply.

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* 5. If PBM Packs are printed following the pilot, how many would you need?

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* 6. Where relevant, would you prefer free downloads or printed copies at a small cost?

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* 7. Your role

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