Forms

Body text

HCP form

Full name of applicant*Your role*Your organisation*Email address*Contact tel no*Work address*Event/meeting you wish to attend*Date of event/meeting*Event/meeting venue*Registration type*Cost of registration*Why do you wish to attend this event/meeting?*How is this event/meeting relevant to your role?*Please specify your key learning objectives for this event/meeting?*How do you intend to apply the learning from this event/meeting to your clinical practice?*What improvements would you expect in terms of service delivery or outcomes by attending this event/meeting?*Please add any other information that may be relevant in support of your applicationDate of application*

Waas

RCGP form

Name of organisation*Type of organisation: (e.g. treatment service; outreach service; patient organisation)*Your full name*Your role*Email address*Contact tel number*Work address*Number of places requested*Please provide a brief description of your organisation*Please explain how the training places will benefit patients in the area served by your organisation*

Please reference one or more of:

Unmet need (e.g., training for those working in homeless outreach in an area where there is evidence of low treatment uptake)
Innovative practice initiatives (e.g., expansion of a shared care model of addictions treatment)
Expansion of treatment capacity

Please provide any additional information in support of your application*

If your application is for more than five (5) places, please provide information that will help us understand the exceptional need.

Waas

Forms

HCP form

RCGP form

Camurus Ltd