We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

DHWNZ 2024 CPD Cert Request Form

DHWNZ 2024 - Certificate of attendance request form

Please enter in your details. We will email your certificate within a few weeks.

1. NAME for certificate *This question is required.

2. HONORIFIC for certificate (optional) eg. Dr, Ms, Mr, Prof, etc

3. JOB TITLE for certificate (optional)

4. EMPLOYER for certificate (optional)

5. EMAIL ADDRESS (so we can send you the certificate) *This question is required. This question requires a valid email address.

6. Which sessions did you attend?

Space Cell	YES	NO
02.12.24 SNOMED Working Bee \| 6.5 hours	02.12.24 SNOMED Working Bee \| 6.5 hours: YES	02.12.24 SNOMED Working Bee \| 6.5 hours: NO
03.12.24 HL7 FHIR Workshop \| 6.5 hours	03.12.24 HL7 FHIR Workshop \| 6.5 hours: YES	03.12.24 HL7 FHIR Workshop \| 6.5 hours: NO
03.12.24 eHealth Nursing & Midwifery Workshop \| 6.5 hours	03.12.24 eHealth Nursing & Midwifery Workshop \| 6.5 hours: YES	03.12.24 eHealth Nursing & Midwifery Workshop \| 6.5 hours: NO
03.12.24 eAllied Health Workshop \| 6.25 hours	03.12.24 eAllied Health Workshop \| 6.25 hours: YES	03.12.24 eAllied Health Workshop \| 6.25 hours: NO
03.12.24 AI in Health Workshop \| 6.5 hours	03.12.24 AI in Health Workshop \| 6.5 hours: YES	03.12.24 AI in Health Workshop \| 6.5 hours: NO
03.12.24 DHWNZ Conference plenary (Tue afternoon) \| 2 hours	03.12.24 DHWNZ Conference plenary (Tue afternoon) \| 2 hours: YES	03.12.24 DHWNZ Conference plenary (Tue afternoon) \| 2 hours: NO
04.12.24 DHWNZ Conference Sessions (Wed) \| 8.5 hours	04.12.24 DHWNZ Conference Sessions (Wed) \| 8.5 hours: YES	04.12.24 DHWNZ Conference Sessions (Wed) \| 8.5 hours: NO
05.12.24 DHWNZ Conference Sessions (Thu) \| 6 hours	05.12.24 DHWNZ Conference Sessions (Thu) \| 6 hours: YES	05.12.24 DHWNZ Conference Sessions (Thu) \| 6 hours: NO

7. If you have any questions or comments please write them in the box below.

Space Cell	YES	NO
02.12.24 SNOMED Working Bee \| 6.5 hours	02.12.24 SNOMED Working Bee \| 6.5 hours: YES	02.12.24 SNOMED Working Bee \| 6.5 hours: NO
03.12.24 HL7 FHIR Workshop \| 6.5 hours	03.12.24 HL7 FHIR Workshop \| 6.5 hours: YES	03.12.24 HL7 FHIR Workshop \| 6.5 hours: NO
03.12.24 eHealth Nursing & Midwifery Workshop \| 6.5 hours	03.12.24 eHealth Nursing & Midwifery Workshop \| 6.5 hours: YES	03.12.24 eHealth Nursing & Midwifery Workshop \| 6.5 hours: NO
03.12.24 eAllied Health Workshop \| 6.25 hours	03.12.24 eAllied Health Workshop \| 6.25 hours: YES	03.12.24 eAllied Health Workshop \| 6.25 hours: NO
03.12.24 AI in Health Workshop \| 6.5 hours	03.12.24 AI in Health Workshop \| 6.5 hours: YES	03.12.24 AI in Health Workshop \| 6.5 hours: NO
03.12.24 DHWNZ Conference plenary (Tue afternoon) \| 2 hours	03.12.24 DHWNZ Conference plenary (Tue afternoon) \| 2 hours: YES	03.12.24 DHWNZ Conference plenary (Tue afternoon) \| 2 hours: NO
04.12.24 DHWNZ Conference Sessions (Wed) \| 8.5 hours	04.12.24 DHWNZ Conference Sessions (Wed) \| 8.5 hours: YES	04.12.24 DHWNZ Conference Sessions (Wed) \| 8.5 hours: NO
05.12.24 DHWNZ Conference Sessions (Thu) \| 6 hours	05.12.24 DHWNZ Conference Sessions (Thu) \| 6 hours: YES	05.12.24 DHWNZ Conference Sessions (Thu) \| 6 hours: NO