Department of Health The Centre for Palliative Care Research and Education is pleased to present a one day Oncology Update for Health Professionals in Palliative Care Date: Friday 6 March 2015 Venue: Education Centre Royal Brisbane and Women’s Hospital Time: 8:30am – 4:00pm (approx.) Cost: $88 (inc GST) The day will offer a series of presentations on new developments and treatment options for malignant disease that will update health professionals working in palliative care. • It will be particularly relevant for doctors in general practice and those in hospitals. • It aims to provide practical information and management options for clinicians. • The day will also be relevant to senior Registered Nurses and Allied Health Professionals. Note: Draft program is attached or go to the CPCRE ‘What’s New’ page Reservations are required. Morning tea and lunch will be provided. Register for this workshop using the “fax back” form – page 2 of this flier. Enquiries: Kym Griffin Phone: 07 3646 6938 Email: [email protected] Rosaleen Matters Phone: 07 3646 1449 Email: [email protected] Registrations close 4pm Friday 27 February 2015 Great state. Great opportunity. And a plan for the future. REGISTRATION FORM / TAX INVOICE Royal Brisbane and Women’s Hospital Foundation ABN No. 37 882 212 480 Please keep a copy of this document as it becomes a tax invoice once payment is received. Hospital and Health Service Requirements Yes - I have completed the necessary requirements of my organisation to participate in Professional Development activities during work hours (e.g. Leave forms) YOUR DETAILS: Please complete a new form for each delegate. Photocopy this form as required Title _________ First Name _______________________________ Surname _____________________________________ Job Title ____________________________________________ Discipline ______________________________________ Organisation _________________________________________________________________________________________ Address _____________________________________________________________________________________________ ___________________________________________________________________ Postcode _________________________ Telephone ___________________________________________ Fax ___________________________________________ E-mail ______________________________________________________________________________________________ (Please ensure email details are correct – CPCRE can only acknowledge registration by email) Please detail any special dietary requirements ____________________________________________________________ PAYMENT OPTION Cheque - Cheques to be made payable to RBWH Foundation. Cheques to be marked ‘not negotiable’. (Phone CPCRE so a place can be held while waiting cheque payment). Credit Card Visa Mastercard AMEX Card No. Cardholder’s Name _________________________________ - - - Contact No.______________________________________ Amount $ 88.00 Signature _________________________________________________ Card Expiry Date / Name to be printed on Receipt: __________________________________________________________________________ Return this completed form by: For payment enquiries: Fax: Rosaleen Matters Director’s Secretary Phone: 07 3646 1449 Email: [email protected] 07 3646 7942 Email: [email protected] Post: Centre for Palliative Care Research and Education Level 7, Block 7 Royal Brisbane and Women’s Hospital Herston Qld 4029 Disclaimer For promotional purposes, photographs may be taken. Your registration constitutes permission for the Centre for Palliative Care Research and Education to use your picture in promotional materials. Please contact CPCRE if you would like to discuss this further. Clinical Multimedia Nov’14 1062_jk