Registration

Date/Time
Date(s) - 23/11/2019
All Day

Bookings

Ticket Type	Price	Spaces
Physicians	$175.00
Allied Health Professionals	$125.00
Nurses	$125.00
Students/Residents/Fellows	$75.00

Title

First Name *

Last Name *

Business or Organization *

Address *

Email *

City *

Phone *

Province *

Postal Code *

Dietary Concerns

Specialty

Case-based Workshops

Please rate from 1 to 5 your preferred workshops.
All attendees will participate in 3 out 5 workshops.

Heart Failure: Expanding Complex Care
for the Primary Care PhysicianDr. Marc Benoit and Dr. Michael Chan *

Acute Coronary Syndrome and COMPASS Update: Dual Pathway Approach is Here Dr. Raymond Leung and Dr. Jonah Mizzau *

ECG: Clinically Important Cases You Will SeeDr. Sajad Gulamhusein and Dr. William Keeble *

Chest Pain and Minimal CAD Dr. Todd Anderson and Dr. Neil Brass *

Prudent Dietary Recommendations: Navigating the Fads and FactsDr. Ted Fenske and Sabina Valentine *

Registration Type:

Registration Type *

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I consent to my submitted data being collected and stored as outlined by the site .

After clicking Register you will be redirected to PayPal to complete the payment process. If you do not receive a confirmation email after the payment is complete please check your spam folder.

REGISTRATION INFORMATION

*Nurses, allied health professionals and students/residents/fellows, please email christine@cvupdate.ca to be placed on the waitlist.

Registration Fees

Physicians: $175
Nurses: $125 (SOLD OUT)*
Allied Health Professionals: $125 (SOLD OUT)*
Students/Residents/Fellows: $75 (SOLD OUT)*

Registrations will not be processed without payment.

Methods of Payment

PayPal / Credit Card through PayPal
OR cheque made payable to:

CK Hui Heart Centre – CME Fund

Mail cheque to:
CK Hui Heart Centre CME Fund
Attention: Cecily Hidson
c/o #350, 11010 – 101 Street
Edmonton, Alberta T5H 4B9

Mail or fax registration form

Cancellation and Refund Policy

Cancellation requests must be emailed to christine@cvupdate.ca on or before to November 1, 2019, and will be subject to a $35 processing fee. No refunds will be considered after this date. Registrations are non-transferable. The Planning Committee reserves the right to cancel or postpone this conference due to insufficient registration, or circumstances beyond our control.

Reimbursement of Registration Fees

Physicians may be eligible for reimbursement of registration fees and expenses to attend this course from a fund administered by the Alberta Medical Association. For more information regarding eligibility please call the AMA
at 780-482-2626 or 1-800-272-9680.

Freedom of Information and Protection of Privacy (FOIPP)

Registration information is collected under the authority of the FOIPP Act. The information is required to register you in this conference and prepare the course material for your use. Financial information is used to process applicable fees and is retained for future reference. This information will not be shared with any other organization.