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Education / event request form
Education / event request form
In realising NQPHN’s strategic objective of strengthening northern Queensland’s primary health care sector, we would like to capture education and event ideas and suggestions for consideration in continuing professional development (CPD) planning.
Your feedback will be used to identify workforce training and development priority areas and areas of focus across the NQPHN region.
Please complete all sections of this form for your education / event submission to be reviewed by the NQPHN Workforce Development Team.
Contact details
First name
Last name
Organisation
Email address
Phone number
Location
Please note, NQPHN's region extends from St Lawrence in the south coast, up to the Torres Strait in the north, and west to Croydon and Kowanyama
Education / event request details
Which NQPHN health priority area(s) does your request relate to?
-- First Nations Health
-- GPs and Other Primary Care Providers
-- Mental Health and Alcohol and Other Drugs
-- Population Health Priorities
-- System Integration
-- Other
Add priority area / description
Event description, topic details, and other information
Proposed event / training provider
Event type
-- Face-to-face
-- Online via Microsoft Teams
-- Blended
Proposed location
-- Torres and Cape region
-- Cairns and Hinterland region
-- Townsville region
-- Mackay region
-- Online
Target audience
-- Administration / support staff
-- Allied health
-- GPs
-- Healthcare workers
-- Nurses
-- Pharmacists
-- Other
Enter other…
File upload
If applicable, upload supporting documentation such as a flyer, brochure, or other information.
One file only.
15 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
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