3rd July 2009 @ 3:26am
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Free registration to primary care nurses with a special interest in cardiovascular disease and/or diabetes


Name
Practice name
Address (where you wish to receive your personal copy of The British Journal of Primary Care Nursing)



This is my
Your email address
Do you wish to receive email news alerts of developments in CHD and diabetes? (Tick for yes)
Qualifications
In the practice are you responsible for
CHD register
Diabetes register
CHD clinic
Diabetes clinic
Secondary cessation

Other disorders - please specify

 Patient education
In-practice training
Treated protocols
CHD
Diabetes

Other - please specify
Are you a
CHD lead
Diabetes lead
Care in the elderly lead		Other - please specify


Drug prescription/recommendation
With which of the following treatments are you involved in specification/patient selection/prescription within your practice?
Antihypertensives
Statins
Other lipid-modifying agents
Oral antidiabetics
Insulins
Anticoagulants
 Anti-obesity agents
Dietary modification
Platelet inhibitors (e.g. ASA)
Management of erectile dysfunction
Wound management
Have you participated in programmes organised by The Primary Care Training Centre? (Tick for yes)
If yes, please specify:
CourseDate (YYYY/MM/DD)

Would you like to receive information about new courses/programmes from The Primary Care Training Centre?

Would you like to receive the Respiratory Diseases and Allergy edition of The British Journal of Primary Care Nursing?

Would you like to join The Primary Care Nurses Network - a new organisation - which provides primary care nurses with the opportunity to join advisory boards, provide market research information and participate in educational programmes?