JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Lisbon eHealth Summer week, 27 June to 1 July 2016
Registration form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nome / First Name
*
Your answer
Apelido / Last Name
*
Your answer
Contacto de email / e-mail address
*
Your answer
Organização / Company (in full)
*
Your answer
Função / Function
Your answer
Morada / Address
Your answer
Código postal / Zip
Your answer
Localidade / City
Your answer
País / Country
*
Choose
Austria
Belgium
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Ireland
Italy
Latvia
Lithuania
Luxembourg
Malta
Norway
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
Sweden
Switzerland
The Netherlands
United Kingdom
USA
Other
Presença / Presence
*
27 Jun
28 Jun
29 Jun
30 Jun
1 Jul
Required
Participação nas seguintes sessões temáticas / Attendance to thematic sessions (language: Portuguese)
Telemedicina / Telemedicine
Literacia em Saúde / Citizen - Literacy in Health
Innovation and Research
Orphanet e Codificação de Doenças Raras / Orphanet and Rare Diseases Codification
Soluções SPMS / SPMS products
TIC em Saúde / ICT in Health
Proteção de Dados - Desafios / Data Protection - Challenges
Other:
Participação nas seguintes sessões temáticas / Attendance to thematic sessions (language: English)
*
Per invitation only* - if you have doubts as to whether or not you can attend please contact:
lilia.marques@spms.min-saude.pt
or
licinio.mano@spms.min-saude.pt
JAseHN Joint Stakeholders Workshop on Cross-Border Guidelines (Per invitation only*)
JAseHN WP7 (Per invitation only*)
CEF Governance Refactoring (Per invitation only*)
e-SENS meeting (Per invitation only*)
e-SENS eID meeting
e-SENS Lega-thon
ERN eHealth Task Force (Per invitation only*)
eHMSEG meeting (Per invitation only*)
ASSESS CT meeting (Per invitation only*)
ASSESS CT Final Conference (Per invitation only*)
Empowering Patient
openMedicine Workshop
IHE - session for Industry
IHE - techy session (Per invitation only*)
Other:
Required
Grupo stakeholder (selecione pelo menos 1 opção) / Stakeholder group (select at least one option)
*
Academia
Associação de Doentes / Patient Association
Autoridade Nacional / Member State authority
Centro de Competência-Investigação / Competence centre
Cidadão / Citizen
Comissão Europeia / European Commission
Indústria / ICT industry
Instituição prestadora de cuidados de saúde / Healthcare provider
Profissional de saúde / Health professional
Rede de Referenciação / European Reference Network
Standards Development Organization
Other:
Required
Message
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report