6th January 2009 @ 5:50am
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Free registration to PCCJ


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About you ...


Your Practice (* signifies required field):

* Name
* Address
* Postcode
* Email

Address to which you would like your personal copy of PCCJ delivered (if different from above):

Name
Address
Postcode
Email


MaleFemale

Approximate number of years in practice

< 56-1011-1516-2021-25> 25

Are you a GPsWi special interest in (please tick any as appropriate):

Coronary heart disease

YesNoPlanning to register

Diabetes

YesNoPlanning to register

Other

YesNoPlanning to register

Other (please specify)

Which are your special areas of interest? (tick all which are relevant)

Cardiovascular risk reduction
Diabetes
Dyslipidaemia
Echocardiography
24 hour ECG
24 hour BP
Heart failure
Hypertension
Obesity/weight loss
Research
Smoking cessation
Teaching
Other (please specify)

Are you a member of any of the following? (please tick as appropriate)

British Cardiac Society
British Society of Echocardiography
Diabetes UK
Heart UK
Primary Care Cardiovascular Society
Primary Care Diabetes Society
Royal College of General Practice

Are you a member of any primary care research network or groups in cardiovascular disease or diabetes?

YesNo

If yes, please specify

In which of the following educational programmes in cardiovascular disease or diabetes have you participated in the last 12 months? (tick all appropriate)

College accredited programme
Other (please specify)
BMJ Masterclasses
British Hypertension Society
Diabetes UK
Heart UK
Primary Care Cardiovascular Society
Primary Care Diabetes Society
Pri-Med
Programme sponsored by pharmaceutical company or other commercial organisation
Other (please specify)

Did you receive the first issue of PCCJ?

YesNoCannot remember

I would like to register for the following email alerts

Table of contents of PCCJ
PCCJ Online with news and analysis
Details of the European Primary Care Cardiovascular Society (EPCCS)


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