Registration Form for Russian / English Course 2018

IFCPC Russian/English Course 2018
Russian / English Languages. 12 month subscription to online course
Price: $500.00
PERSONAL DETAILS
Title*
Name*
First Name Last Name (Family Name)
Address Line 1
Address Line 2 Address Line 3 City County / State / Region ZIP / Postal Code Country
Phone
Email / Password
Email*
Enter Email Confirm Email
Password*
Enter Password Confirm Password
Your Hospital
Hospital Name
Address Line 1
Address Line 2
Phone
Questions
How many cases of cervical cancer occurred in your unit in 2016?
How many cases of cervical precancer occurred in your unit in 2014?
What if any type of cervical screening occurs in your region?
How many women are, or will be, referred to your colposcopy clinic per month?
Mode of treatment and equipment
Colposcopy equipment in your unit:
- Colposcope
- Electrosurgical Unit
- Consumables
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PERSONAL DETAILS