GENERAL INFORMATION REGISTRATION FORM (4.12.2000 – 29-1-2001)
(Please use block letter to complete the form)
Language : Cantonese and English
Name : Mr/Mrs/Miss
COURSE
Fee : HKD 800.00 In Chinese
Profession
ON
Enrolment 100 Professional Organisation
Department
HOSPICE CARE
Deadline for application: Correspondence Address
19 November 2000 (First come first serve)
BASIC
Enquiries: Tel No. (Home)
Kindly call the Bradbury Hospice Tel No.(Office)
Date : 4.12.00 – 29.1.01
2645 8893. Pager / Mobile
(Except 25.12.00 & 1.1.2001)
Cheque No
Payment:
Time : Every Monday
Cheque Payable to “Bradbury Hospice’ Fee are Signature
6:30 – 8:30PM
non-refundable 2 week before the commencement Date
of the course.
Venue : Seminar Room1
Return-slip
M/F
Send form and cheque to : Name
HA Building
Bradbury Hospice Correspondence Address
147B Arglye Street
A Kung Kok Shan Road
Kowloon
Shatin, N.T.
A certificate of attendance will be issued to those Name
who have attended 80% of all lectures. Correspondence Address
DATE TOPIC Speaker
4/12/2000 Hospice Concepts and Service Ms. Shiu Sin Man
Registered Nurses
11/12/2000 Hospice Home care Ms. Caroline Leung
Ward Manager
Team Work Ms. Polly Wong
Nursing Officer
18/12/2000 Psycho-spiritual care Ms. Cecilia Kwan
Nurse Specialist
8/1/2001 Care of the family Ms. Catherine Tsang
Medical Social Worker
15/1/2001 Loss and Bereavement Dr. Rhoda Yuen
Hospice Psychologist
22/1/2001 Pain and symptoms control Dr. Yvonne Mak
Medical Officer
29/1/2001 Ethical Issues in Palliative Care Ms. Clare Lai
General Manager Nursing