Free registration to PCCJ

Your Practice (* signifies required field):

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

Approximate number of years in practice

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

Coronary heart disease

Diabetes

Other

Other (please specify)

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

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

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

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)

Did you receive the first issue of PCCJ?

I would like to register for the following email alerts

Thank you. To complete registration click submit: