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Activity Application - Psychiatry for the Non-Psychiatrist

Application to attend:

Psychiatry for the Non-Psychiatrist

Date/Time: January 27, 2018 09:00AM - 12:30PM
Fee to Register: QAR 150 (required after acceptance of application)
Thank you for your interest in attending Weill Cornell Medicine - Qatar's upcoming Psychiatry for the Non-Psychiatrist workshop. Please take a few minutes to complete this brief application.You will be notified within two weeks regarding your application.

1. Please provide your information *This question is required.

First name
Last name
Email address
Contact number
Institution
Years in practice

2. In which setting do you work. *This question is required.

Please enter an 'other' value for this selection.

3. Please indicate your profession *This question is required.

Allied Health Professional
Dentist
Nurse
Pharmacist
Physician
Student
Other Please enter an 'other' value for this selection. * This question is required.

4. How many patients with psychiatric needs do you encounter per week in your work setting? *This question is required. This question requires a valid number format.