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Fill in the registration form below. A confirmation email will be sent to the registered email address.
Note: compulsory fields are marked with an *
Click the
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link in that confirmation email to complete your registration and enable your login.
Section 1
Email:
Your registered email address is your login name
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Password:
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Verify Password:
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Forenames:
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Surname:
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City/Region:
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Country:
New Zealand
Australia
Canada
Ireland
Scotland
United Kingdom
United States
Antigua and Barbuda
Argentina
Aruba
Australia
Austria
Bahamas
Bahrain
Bangaladesh
Barbados
Belarus
Belgium
Bermuda
Bolivia
Bosnia
Brazil
Bulgaria
Canada
Chile
China
Colombia
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
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Fiji
Finland
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Hungary
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Indonesia
Iran
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Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kenya
Korea
Kuwait
Latvia
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Lithuania
Luxembourg
Macedonia
Malaysia
Mexico
Morocco
Netherlands
New Zealand
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
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Scotland
Seychelles
Singapore
Slovakia
Slovenia
South Africa
Spain
Sweden
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Taiwan
Thailand
Trinidad and Tobago
Turkey
United Arab Emirates
United Kingdom
United States
Venezuela
Viet Nam
Yugoslavia
Zimbabwe
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Section 2
We need the following information to provide appropriate continuing education for your professional needs, and to ensure you receive credits from your professional body where eligible.
Are you a:
Please choose one...
Medical Practitioner
Nurse
Pharmacist
Physiotherapist
Occupational Therapist
Psychologist
Chiropractor
Health Professional
Health Business/Administrator
Media/Press
Researcher
Teacher/Educator
Consumer/Other
*
Area of Speciality
Please choose one...
None
General Practice
Other Primary Health Care
Anaethetics
Cardiology
Dermatology
Emergency Medicine
Endocrinology
Epidemiology
Gastroenterology
Haematology
Infectious Disease
Internal Medicine
Muscular-skeletal/Sports Medicine
Nephrology
Obsterics
Oncology
Ophthalmology
Orthopaedics
Otolaryngology (ear, nose, throat)
Pain Management
Palliative Care
Paediatrics
Psychiatry
Radiology
Rheumatology
Other
Are you a New Zealand registered medical Practitioner?
Yes, I am registered with the Medical Council of New Zealand.
If yes what is your Medical Council of New Zealand number:
Are you vocationally trained in New Zealand?
Yes
What is your status with your professional College (e.g., the RNZGP)?
Not a member
Associate member
Member
Fellow
Are you registered with the Nursing Council of NZ?
Yes, I am registered with the Nursing Council of New Zealand.
If yes, what is your registration number?
Which registration category do you belong to?
Registered nurse
Nurse Practitioner
Nurse Practitioner with prescribing
What is your status with your profession organisation (e.g., College of Nurses or NZNO)?
Not a member
Member
Section 3
Contact me about continuing education activities?
Yes, contact me about continuing education activities.
Contact me via email or mail using my street address?
Email
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