Community of Practice
Event registration form
Please choose the event you would like to attend. If you experience any problem using this form please contact us via email@example.com
-Please select an event-
WA Stroke Care Virtual Symposium 22nd October, 2020 12:00-16:30pm - VC Only.
CRSP 'Chronic Heart Failure' 26th November, 2020 12:30-13:30pm - VC Only.
Aboriginal Person Centred Care, 3rd December 2020, Fremantle Hospital, In Person Only
Select the event you wish to register for.
Please double-check your email address is correct.
-Select a health service-
Department of Health
Private health provider (private only)
Private health provider (co-located providing public patient services)
Other (please specify in Site)
Site (eg. Royal Perth Hospital)
Other Allied Health
Administration, Management, Leadership
Qualification status / experience
Graduate (less than one year)
Clinician (1-2 years complete)
Clinician (3-5 years complete)
Clinician (6+ years complete)
Non-clinical / Not-applicable
Job Title (optional)
Phone number (optional)
In person/via video conference
I will attend this event in person
I will use video conferencing to attend (*)
*Important - only select for a 'VC available' or 'VC only' event or your registration may not be processed
If applicable, which VC site?
(If applicable, tell us the location you'll be using VC from)
Please add me to the TRACS WA mailing list
I don't want to be added to the TRACS WA mailing list
(You can unsubscribe at any time)
I agree that my image could appear in TRACS WA video/photo materials
I don't want my image to be used because I have specific privacy/safety concerns
(Your name is not published either way)
To prevent spam, please type the letters you see in the box
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Training Centre in Subacute Care WA | B2 Fremantle Hospital | 08 9431 2351 |
tracswa _at_ health _dot_ wa _dot_ gov _ dot _ au