Register for ICHI testing

Email address *

Surname *

Your answer

First name *

Your answer

Mobile number (+county & number, e.g. +27 82 557 1056) *

Your answer

Occupation (e.g. nurse, medical doctor, etc.) *

Your answer

Organisation *

Your answer

Country *

Choose one or more of the following modules you would like to test *

Primary care interventions

Public health interventions

Medical/surgical interventions (line coding)

Medical/surgical interventions (case coding)

Functioning interventions (line coding)

Functioning interventions (case coding)

Required

What is your specific area of interest regarding ICHI?

Your answer

A copy of your responses will be emailed to the address you provided.

Submit

Never submit passwords through Google Forms.

reCAPTCHA

This content is neither created nor endorsed by Google.