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Event registration form
Please choose the event you would like to attend. If you experience any problem using this form please contact us via tracswa@health.wa.gov.au
Select an event
-select an event-
3rd March 2021, Older Adult Mental Health, Bentley Hospital, 8:30-4:30. In Person Only
4-5th March 2021, Older Adult Mental Health, Albany Hospital. In Person Only
16th March 2021, Older Adult Mental Health, Shaw House, Graylands Hospital, 8:30-4:00. In Person Only
24th March 2021, Subacute Care, CC Bennett, Fremantle Hospital, 8:30-4:00. In Person Only
29th March 2021, Older Adult Mental Health, Fiona Stanley Hospital, 8:30-4:00. In Person Only
15th April 2021, Subacute Care, Joske Room East, SCGH, 8:30-4:00. In Person Only
5th May 2021, Subacute Care, Education Building, Fiona Stanley Hospital, 8:30-4:00. In Person Only
7th May 2021, Older Adult Mental Health, A Block Training Room, Bentley Hospital, 8:30-4:00. In Person Only
10th May 2021, Older Adult Mental Health, Bentley Older Adult Community Mental Health, 8:30-4:00. In Person Only
12th May 2021, Subacute Care, Bentley Hospital, 8:30-4:00. In Person Only
31st May 2021, Older Adult Mental Health, Shaw House, Graylands, 8:30-4.00. In Person Only
10th June 2021, Older Adult Mental Health, Midland OACMH, 8:30-4:00. In Person Only
28th June 2021, Older Adult Mental Health, City East OACMH, 8:30-4:00. In Person Only
First Name
Last Name
Email address
Please double-check your email address is correct.
Health Service
-Select a health service-
CAHS
Department of Health
EMHS
NMHS
Private health provider (private only)
Private health provider (co-located providing public patient services)
SMHS
WACHS
University/TAFE
Other (please specify in Site)
Site (eg. Royal Perth Hospital)
Profession
-Select one-
Occupational Therapy
Speech Pathology
Physiotherapy
Pharmacy
Social Work
Psychology
Nursing
Dietitian
Other Allied Health
Medical Doctor
Psychiatry
Administration, Management, Leadership
Educator
Exercise Physiologist
Aboriginal Health
Audiologist
Podiatrist
Other
Qualification status / experience
-Select one-
Student
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)
Mailing List
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)
Photo/video consent
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)
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