Registration Form

A. Identification

Professional Status*

Medical Speciality:
Professional License Number

B. Concurrent Sessions - PRACTICAL PROBLEMS

Session 1 - Choose either A or B
Choice: Name
A : Hot off the Press: Modern Approach to the Febrile Infant
B : A Recipe for Eating Disorders: Family-Based Therapy in Promary Care
Session 2 - Choose either C or D
Choice: Name
C : Mind the Gap: Best Practices for Transitioning from Pediatric to Adult Care
D : Physician Heal Thyself! A Workshop in Physician Wellness

C. Registration Fees

For Physicians
Demystifying Pediatric Neurology
Feb. 8, 2023
Practical Problems in Pediatrics
Feb. 9-10, 2023
Both Courses
Feb. 8, 9, 10 2023
Early Bird:
Before
Dec. 16, 2023
Regular:
After
Dec. 16, 2023

For Nurses or Residents
Demystifying Pediatric Neurology
Feb. 8, 2023
Practical Problems in Pediatrics
Feb. 9-10, 2023
Both Courses
Feb. 8, 9, 10 2023
Early Bird:
Before
Dec. 16, 2023
Regular:
After
Dec. 16, 2023

For Invited Speakers
Click if you are an invited speaker          



Cancellation Policy

Full refunds, less an administrative fee of $50.00, will be made for written cancellations received by January 6, 2023. After January 6, 2023, only 50% will be refunded, and no refunds will be issued for cancellations received after February 3, 2023.


 I have read and acknowledge the cancellation policy.



D. Method of Payment

  Total Amount : $

Online Credit Card Payment (VISA, Mastercard, Discover, American Express, Diners Club, Carte Blanche, JCB and Visa Debit)
Certified Cheque/Money Order/Bank Draft
(Please make payable in Canadian funds to "O'Donoughue & Associates Event Management Re : Pediatric Courses")
Credit Card Payment by Fax