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You must have JavaScript enabled to use this form. Registrant/Organization name: Email: Phone Number: Location: Individual registrants: Select course and fee: Once you select your course and fee below, you will be redirected to paypal to complete your payment. Fundamentals - $40 CAPCE - $300 EPM - $40 APPS - $40 - None -Fundamentals - $40CAPCE - $300EPM - $40APPS - $40 Provincial partners/group registration: Enter total payment amount here ONLY if paying for a group registration: 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. If paying for a group registration, enter payment amount: PLEASE NOTE: Only enter a payment amount if registering a group.
