21 June - Palliative Care Education Day

HMRI Building, John Hunter Hospital

Description
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Palliative Care Education Day for Health Professionals:

Fill in the form below to register for this event
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* 1. Contact Details

Name: *

Email Address: *

Phone Number:

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* 2. QA# ( if Applicable)

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* 3. 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)

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* 4. Are there any questions you would like to be addressed at this event in a Case Study?

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* 5. I require a Certificate of Attendance

Yes

No

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* 6. Are you currently a member of HPMI?

Yes

No

Not Sure