Accreditation Team Workshop Registration

Please complete the form below to register for theĀ Accreditation Team Workshop on Wednesday 19 September 2018. This program is offered to all SA Health employees. The 'employee number' is proof of your employment.

First name:*
Last name:*
Preferred name:
Title:*
E-mail:*
Contact alternative email:
SA Health Employee number:*
Position:
Hospital/DOH:*
Mobile phone:*
Dietary requirements? Please specify:*
How did you hear about the workshop:
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