Active Learning Module Event 3 May 2014

Registration form

Pindara Private Hospital is pleased to invite you to “Below the Belt” a special Active Learning Module (ALM) for General Practitioners focussing on the pelvic area. The program will cover a range of men’s, women’s and children’s health issues in the pelvic area.
40 category 1 QI & CPD points are achievable!

Time: 11.00am - 5.10pm
When: Saturday, 3 May 2014
Where: Paradise Showroom Lower Ground floor,The Arts Centre Gold Coast
135 Bundall Rd
SURFERS PARADISE QLD 4217

RSVP: Monday 28 April 2014

Application has been made for 40 QI & CPD Category 1 Points

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* 1. To register please provide the following details:
First name:

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* 2. Surname:

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* 3. QI & CPD Number:

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* 4. Practice Name:

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* 5. Practice Address:

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* 6. Contact Phone Numbers:

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* 7. Email address:

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* 8. Special dietary requirements:

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* 1. To register please provide the following details:First name:

Question Title

* 2. Surname:

Question Title

* 3. QI & CPD Number:

Question Title

* 4. Practice Name:

Question Title

* 5. Practice Address:

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* 6. Contact Phone Numbers:

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* 7. Email address:

Question Title

* 8. Special dietary requirements:

* 1. To register please provide the following details:
First name: