9th September 2010 @ 9:54am
 Subscribe | Instructions To Authors | Advertising & Supplements | Contact Us

Free registration to PCCJ

Complete the form below and press submit to register (* signifies required field):

About you ...

Your Practice

* Title
* Forenames
* Surname
* Practice Address
* Town
* County
* Postcode
Telephone
* Email

Would you like your copy of the journal sent to your practice or home address?

HomePractice

Title
Forenames
Surname
Home Address
Town
County
Postcode
Telephone
Email

* Are you:

MaleFemale

* Are you a:

GPPractice nurseOther healthcare professional

* Approximate number of years in practice

< 56-1011-1516-2021-25> 25

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

* Coronary heart disease

YesNoPlanning to register

* Diabetes

YesNoPlanning to register

* Other

YesNoPlanning to register

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

Cardiovascular risk reduction
Diabetes
Dyslipidaemia
Echocardiography
24 hour ECG
24 hour BP
Heart failure
Hypertension
Obesity/weight loss
Research
Smoking cessation
Teaching
Other/None of these

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

British Cardiac Society
British Society of Echocardiography
Diabetes UK
Heart UK
Primary Care Cardiovascular Society
Primary Care Diabetes Society
Royal College of General Practice
Other/None of these

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

YesNo

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)

College accredited programme
BMJ Masterclasses
British Hypertension Society
Diabetes UK
Heart UK
Primary Care Cardiovascular Society
Primary Care Diabetes Society
Pri-Med
Programme sponsored by pharmaceutical company or other commercial organisation
Other/None of these

* Did you receive the first issue of PCCJ?

YesNoCannot remember

* I would like to register for the following email alerts

Email alerts and news about CHD, diabetes and other related disorders
Table of contents of PCCJ
Details of the European Primary Care Cardiovascular Society (EPCCS)

Thank you. To complete registration enter the displayed code and click submit:

Captcha image Code: