Request a practice presentation

If you would like to request a practice presentation for your general practice, please complete the details below:

If you would like to request a speaker for a different event, please complete the separate Request a Speaker Form.

In order for these sessions to be most beneficial, we will require the following from you:

Availability of all your staff – these sessions are designed for the whole team – clinical or administrative.
A suitably sized room to comfortably fit all staff who will be in attendance.

Your title

Your full name:

Job title:

Organisation:

Address:

Telephone number:

Email address:

Audience breakdown: number of GPs

Audience breakdown: number of administrators

Audience breakdown: number of nurses

Audience breakdown: other

Please provide details and numbers

Which presentation are you wishing to host?

Chaperones
Confidentiality
Consent
Medical Records
Patient Care Skills

Do you have the following equipment:

A projector
A projection screen/large white wall

If you do not have a lot of space in your meeting room, then please advise below and we will bring the slides as a paper handout to give to staff:

Please give any other relevant details:

Type the code from the image