Wegovy (Semaglutide) & Saxenda (Liraglutide): Registration Form for Webinar and PGD Training Part I: Supply of  Wegovy (Semaglutide) & Liraglutide (Saxenda®) For Weight Management
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Email *
Clinician First Name *
Clinician Last Name *
Your Profession *
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Professional Registration Number (e.g. GPhC, GMC, NMC) *
Mobile Number *
Email *
CQC or GPhC registered premises - Company name *
CQC or GPhC registered premises - Postcode *
CQC or GPhC registered premises - Address *
CQC or GPhC registered premises - City *
CQC or GPhC registered premises - Clinic telephone number *
Webinar Dates (Evening Webinar 8:00 pm to 9:30 pm) - a zoom link will be sent to you 24 hours before the training. If there is any issue, please contact our training coorindator on 02079932544. *
Please await confirmation via email. Please call 020 7993 2544 if you have not received a confirmation.
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Did someone refer you to this webinar? If so, please tick one of the following boxes or state the person/company name.
A copy of your responses will be emailed to the address you provided.
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