Short Course in Clinical Toxicology 2022         [Video Lectures] (C385)
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Deadline :  5 October 2022
Q1. Salutation (Please select as appropriate) *
Q2. Surname - in capital letter (e.g. CHAN) *
Q3. First name  (e.g. Tai Man, Simon) *
Q4. Chinese name
Q5. Correspondence address *
Q6. Mobile no. *
Q7. Company name
Q8. Occupation *
Please indicate your profession in the full name (e.g. Registered nurse, Occupational therapist etc.)
Q9. Please select the College(s) for CME (if not applicable, please select Nil) *
Please select" Nil" if you are not a doctor
Q10.  MCHK registration no. (if not applicable, please enter Nil)
Q11.  Please indicate your MCHK CME Administrator or CME Programme(s) you have enrolled (if not applicable, please select Nil) *
Q12. HKMA member no. (if not applicable, please enter Nil) *
Q13. HKDU member no. (if not applicable, please enter Nil) *
Q14. CNE points for Nurses (if not applicable, please select "No") *
Q15. Education
Clear selection
Q16. Sources of learning about the course (can select more than one option) *
Payment Methods  (Course fee $1,000)
 1) By cheque:
     a)  A crossed cheque should be made payable to "Federation of Medical Societies of Hong Kong";
     b)  A separate cheque should be issued for each course;

     c) Please write down your full name, mobile no. and the course code: C385 at the back of the cheque;
     d)  Please mark "Application for C385" on the envelope; and
     e) Please send to 4/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai, Hong Kong.

 2) By Cash:
       Please submit the exact payment within the office hours from Monday to Friday, 9:30 am - 1:00 pm or 2:00 pm - 6:00 pm.
       For inquiries, please feel free to contact Ms. Vienna Lam on 2527 8898 or email at Thank you.

3) Confirmation by email

      The successful applicants will receive the confirmation email on 6 October 2022.

Guidelines for Video Lectures
1) Participants will be allowed to watch the videos within 3 days.

2) Participants have a maximum of 3 times to login and access each video link.

3) Participants are required to login and logout the system to collect the attendance record.

4) Participants can submit the questions in Q&A box after watching the videos.

5) Participants who have achieved 70% (4 out of 6 lectures) or above attendance will be entitled to an e-Certificate.

6) e-Receipt and e-Certificate will be provided to participants 2 weeks after the course finished.

7)   Quiz : Doctors are required to complete a quiz after the completion of each lecture.

1) CME/CNE Accreditation is in application.

2) Fees are NOT REFUNDABLE, except in the event of the course being oversubscribed or cancelled.

3) The Federation of Medical Societies of Hong Kong (FMSHK) reserves the right to cancel or re-schedule the course due to any unforeseen circumstances.  The FMSHK is not responsible for any cost incurred by the collaborating organizations or the participants, should cancellation or any changes take place after any participants registered for the course.
Personal Data Collection Statement
1) The personal data provided by you will be used by the Federation of Medical Societies of Hong Kong (FMSHK) for purposes related to the processing of registration, academic, administrative, and statistical purposes.

2) The personal data (including name, address, email and contact number) provided by you will be used by FMSHK for delivering information including any events and functions to be held, courses to be organized and activities related to FMSHK. Your personal data will not be transferred to any third party.

I have read and agreed to the above statement *
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