Geriatric Medicine Refresher Day 2024 Registration

If you are a sponsor, please use the exhibitor registration webform.

CONTACT INFORMATION
First name:
Title
Address
ADDITIONAL INFORMATION:
I am involved with:
My profession is:
SELECT WORKSHOPS:
LEGEND - WORKSHOP SUITED FOR: (A) - Allied Health, (N) - Nurses, PSWs, (P) - Physicians, Pharmacists
LEGEND - WORKSHOP SUITED FOR: (A) - Allied Health, (N) - Nurses, PSWs, (P) - Physicians, Pharmacists
PAYMENT
Type of registration:
Method of payment:
You will be directed to the PayPal page to complete payment after you enter submit. A paypal account is not required, you will be given an option to pay with credit card without signing up for Paypal.

Cheques should be made out to St. Joseph’s Health Care London – GRD

Send to:

Parkwood Institute, Main Building
PO Box 5777, STN B
London, ON  N6A 4V2
ATTN: Amy Lane, Division of Geriatric Medicine, Room A2-129

This personal information is being collected under the authority of the Public Hospitals Act R.S.O. 1990, CHAPTER P.40 for the purpose of contacting the sender in response to an inquiry. If you have questions about the collection of this information, please contact Privacy and Freedom of Information, St. Joseph's Health Care London, 268 Grosvenor Street, London, ON,519-646-6100 ext. 65591.