Provincial Adult Tertiary& Specialized Eating Disorders Program

Providence Health Care, St. Paul’s Hospital

4 North Burrard Building

1081 Burrard Street, Vancouver, BCV6Z 1Y6

Tel: 604-806-8347 Fax: 604-806-8631

PATSEDP Education Series 2016-2017

Hosted by the Provincial Adult Tertiary Eating Disorders Program at St Paul’s Hospital, the 2nd Wednesday of each month from 8:00 - 9:00am (Pacific Time, or Pacific Daylight Time) from Octoberto June.

Video-Conferencing Agreement – for SITE REGISTRATION

1) Each site must identify a Site Coordinator who will be responsible for:

Completing a registration form and emailing to prior to the deadline.

Faxing completed evaluation forms after the presentation to 604-806-8631.

Booking local facilities and liaising with the identified site technician.

Distributing conference materials to your local members

Transferring this responsibility to someone else at your site if you will be absent

2) Each Site must identify a technician. The Site Technician will be responsible for:

Managing the coordinates and liaising with St. Paul’s Media Services Department in advance of each videoconference.

Each site must rely on its local technical support for the proper operation of the videoconference equipment.For those sites without technical support at hand – it is strongly recommended that staff become knowledgeable about the video-conferencing equipment and be trained in the basic operation of it.St. Paul’s Hospital Media Department cannot offer technical support to your sites.

Deadline for registration is 2 weeks prior to the date of first presentation.

In sending your registration, you are providing acknowledgement and agreement of the above.

Thank you,

Gabriela Cruz, ClinicalNurse Educator

(T) 604-682-2344 Local 62656 (F) 604-806-8631

Provincial Adult Tertiary & Specialized Eating Disorders Program

Providence Health Care, St. Paul’s Hospital

4 North Burrard Building

1081 Burrard Street, Vancouver, BCV6Z 1Y6

Tel: 604-806-8347 Fax: 604-806-8631

PATSEDPEducation Series 2016-2017

REGISTRATION FORM

All information is required to complete your registration and you must register to be on the email distribution list.

Option 1 – Individual registration via Webinar
Name: Phone #:
Email:
Your Clinical Site:

* Webinar access information will be emailed out prior to each presentation.

Option 2 – Clinical program registration via videoconferencing
Program Name (Your Clinical site):
Site Coordinator / Name:
Technician / Name:Phone #: Email:
Location of videoconference / Facility:Room Name/Number:*
Phone # in room:IP/Alias:*

* If your room and/or IP address will not be the same each month, please attach a list of locations for each month you are registering for to secure your advances registration status. If your location changes after registration, we require at least 2 weeks notice to change the bridge booking.


ALL EVENTS
October 12/16
November 9/16
December 14/16
January 11/17
February 8/17
March 8/17
April 12/17
May 10/17
June 14/17 / Please check which presentations you are registering for.Presentations are scheduled on the second Wednesday of each month
October to June inclusive starting promptly at 8:00 AM and conclude by 9:00 AM.
Cancellation Policy:Please give us 5 days advance notice if your site will not be participating in a scheduled presentation so that we can cancel the bridge to your site. Your microphones might be on and extra noise during the videoconference is very disruptive.
Return completed form by email to: