FEBRUARY 2019 - Respiratory Workshop
First Name *
Your answer
Last Name *
Your answer
E-mail *
Your answer
Date of Birth
MM
/
DD
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YYYY
Phone Number
Please specify 'w'-work; 'c'-cell; 'h'-home (eg. c 504-3333)
Your answer
Which workshop date is your preference? *
What is your PROFESSION? *
Place of Employment *
If possible, please also specify department (eg. KEMH - Maternity)
Your answer
In which PARISH do you primarily WORK? *
Please estimate how many people you assist each year regarding their asthma. *
Your answer
Do you have an Asthma Diploma? *
Are you interested in learning more about how you can study for an Asthma Diploma? *
All work done online with local review sessions.
Payment Method ($40) *
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