Hrt Course Booking Form

HRT TRAINING COURSE BOOKING FORM

You can use this form to book more than one course for yourself.

Use the TAB key on your keyboard or mouse to move from one field to the next.

Select the course(s) and date(s) you wish to attend below.

On Page 2 tick the boxes to provide the information relevant to you.

Then following the instructions at the end of Page 2, email your booking form.

First Name:

Surname:

Organisation:

Position:

Address:

Telephone:

Email:

Introduction to Drugs

(choose date)24 February21 April

Injecting Equipment Provision

(choose date)26 February23 April

Safer Injecting

(choose date)05 March30 April

Performance and Image Enhancing Drugs

(choose date)12 March21 May

Introduction to BBVs and Sexual Health for Drug Users

(choose date)19 March07 May

Treating Substance Misuse Problems and Recovery

(choose date)26 March04 June

Take Home Naloxone - Training for Trainers

(choose date)02 April18 June

Pregnancy and Substance Misuse

(choose date)09 April14 May

Introduction to Alcohol Problems

(choose date)16 April11 June

Dry Blood Spot Testing (2-part training - see programme)

(choose date)09 June

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To help us to ensure that all applicants attending the training are able to participate fully and that we meet all your access needs, please answer the following questions. All information you provide will be treated as confidential and will be used only for planning this event.

If you have a disability, do you require wheelchair access?Yes

Note: parking in and around Spittal Street is metered. There is a NPC parking garage on Castle Terrace. For bus services see the Lothian Buses website at

Do you have any other requirements e.g. hearing, vision?Yes

If Yes, give details here:

Will you be bringing a personal assistant?Yes No

If No, will you need us to provide you
with personal care support?Yes No

Do you require interpreter facilities to be available on the day?Yes

If Yes, then give us the maximum advance notice to guarantee these facilities:

BSL DeafBlind Communicator
PalantypistSign-supported English
Lip speaker

Other / Details:

If English is not your first language and you require translation into another language, give details here:

Save this booking form by clicking File Menu>Save as…
and giving it a meaningful name. With your file still open,
click File Menu>Send to>Mail Recipient (as Attachment)
and email your booking form to:

If you are using an email programme other than Outlook,
make sure that you attach your form to the email!
Any email received without a booking form will be deleted,
but you will not be notified of this.

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