10th March 2010 @ 1:01pm
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Local Nurse Networks

Register now to be a local Nurse Network Facilitator and for the opportunity to attend a FREE National Facilitators Meeting using the form below

* Required field

Name

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Address

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Address

Address

Address

Postcode

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Telephone

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Mobile

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Email

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1.

Are you a member of a local cardiovascular and diabetes Nurse Network?
Yes No

If yes:
What is the name of your cardiovascular and diabetes Nurse Network?
Where is your cardiovascular and diabetes Nurse Network located?
How often does your cardiovascular and diabetes Nurse Network meet?
Would you like to be offered support for your cardiovascular and diabetes Nurse Network?
Yes No

If no:
Would you like to join a local cardiovascular and diabetes Nurse Network should there be sufficient interest in your area?
Yes No

2.

Do you currently co-ordinate or lead a local cardiovascular and diabetes Nurse Network?
Yes No

If no:
Who should we contact to offer support to your cardiovascular and diabetes Nurse Network?

Name

Address

Address

Address

Address

Postcode

Telephone

Mobile

Email

Supported by an unrestricted medical education grant from Merck Sharp & Dohme Limited and Schering-Plough Limited