Online Registration Form (Liverpool 2023)
Please complete this form to register for the 36th Liverpool Course on the Management of Chronic Pain due to take place at University Hospital Aintree and The Walton Centre NHS Foundation Trust, Liverpool, UK on 6-7 July 2023. For further details, e-mail: ciaranwazir@gmail.com
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Title: *
Forename: *
Surname: *
Medical Speciality (anaesthesia, neurology, etc):
Clinic/Hospital: *
Postal Address:
E-mail Address: *
Contact No: *
Preferred Registration Payment Method: *
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