NH PQI Fundamentals of QI (Level 2) 
This is the registration form for NH PQIs Fundamentals of Quality Level 2 training workshops
You will receive a confirmation email that your registration has been received within one business day will be sent a calendar invite.
If you require assistance with the application, or have questions, please contact physicianQI@northernhealth.ca
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Please indicate which workshop you would like to register for
Name: *
Email: *
Phone number: *
Facility/Community: *
Specialty/Area of practice: *
Designation
**APP physicians will be reimbursed for work done outside of their contract time

**Note that NPs, midwives, Dentists are not eligible for sessional payments for time spent in education or on project work, or travel reimbursements

 *
Date of application:
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What level of QI training have you taken previously?
How did you hear about the NH PQI initiative?
Do you have any dietary restrictions?
Doe you have any mobility challenges?
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Would you like to be contacted about other PQI workshops and collaboration opportunities? *
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