--REGISTRATION FORM

TAX INVOICE/RECEIPT

ABN: 96 237 388 063

Upon registration and payment this document becomes a Tax Invoice/Receipt. Please retain a copy, as no further receipts will be issued

Name: ______

Mailing Address: ______

Suburb: ______Post Code: ______

Telephone: ______Fax: ______

Workplace: ______

Email: ______

(Email to be used for confirmation of registration)

Special dietary requirements ______

______

Registration Options: (All prices include GST)

Includes morning/afternoon tea and lunch

Early Bird: Pay by 4th May: $95.00

Reg fee after 4th May: $125.00

GROUP

10 or more registrations in one booking from one organization:

$85.00 each person early bird

$115.00 each person regular fee

(Names must be provided with registration)

REGISTRATIONS CLOSE ______25th May, 2017______

PAYMENT METHODS

Visa Master Card

Name on Card:

______

Credit Card No.:

______

Expiry Date: ______/______

Amount: (Credit Card Price): $ ______

Signature of Cardholder:

______

Cheque/Money Order payable to:

Austin Health

Send To:

Di Winther

Health & Rehabilitation Centre

Heidelberg Repatriation Hospital

P O Box 5444

Heidelberg West Vic 3081

PLEASE ENSURE REGISTRATION FORM

ACCOMPANIES PAYMENT

Cancellation & Refund Policy

Cancellations must be received in writing.

50% of registration fee forfeited if cancellation received more than 48 hours before the program.

100% of registration fee forfeited if cancellation received less than 48 hours before the program, or for non-attendance.

Austin Health reserves the right to cancel this

program with full refund.

I understand the Cancellation & Refund Policy

Signature: ______Date: ______

Enquiries: 613 9496 4374

Facsimile: 613 9496 6337

Email:

HIP - CHRONIC

WOUND CLINIC SERVICE

Presents a full day conference for health care providers and those with an interest in Wound Care titled

Wound Management, what’s out there to help me and how do I use it?’

Thursday

1st June, 2017

VENUE

Darebin Arts & Entertainment Centre

Corner Bell Street & St Georges Rd

Preston

Melway Map 30 E1

Off street parking available at venue at no charge

We would like to acknowledge the generous sponsorship of

8:30-9.00 am

REGISTRATION, TEA & COFFEE

9:00 am – 9:10 am

OPENING ADDRESS

Sue Shilbury – Austin Health CEO

9:10 am – 9.40 am

Associate Professor Geoff Sussman, Monash University and Austin Health – Wound Management 101- how the basics will ensure the best outcomes for your patients

9.40 am – 10.10 am

Greer Hosking, Wound care Consultant – Skin Integrity in the acute environment Greer

10.10 -10.40: - Associate Professor Michael Woodward, Austin Health - Wound management-where can I go for help? The rich resources offered by Wounds Australia

10:40 am – 11:10 am

Morning Tea

11:10 am – 11.40 am

Judith Barker, ACT Health – More resources- DVA leads wound care into the future

11:40 am – 12:10 pm

Linda Howell, Clinical Nurse Consultant – Wound Care in the Lymphodema Patient

12:10 pm – 12:40 pm

Nikki Frescoes, Podiatrist La Trobe University – Wound Management starts at the foot

12:40 pm – 1:20 pm

Lunch Break

AFTERNOON PROGRAM

1:20 pm – 1.50 pm

Karen Greaves - The skin and how we can improve it

1.50 pm – 3.00 pm

PANEL DISCUSSION OF CASE STUDIES

Facilitator – A/Prof Michael Woodward

Panel Members: Jan Rice, Nikki Frescoes, A/Prof Geoff Sussman,

3:00 pm – 3:15 pm

Afternoon Tea Break

3:15 pm – 3.45 pm

Judith Barker, ACT Health – What works to heal venous Leg Ulcers

3:45 pm – 4:15 pm

Jan Rice, Wound Care Consultant – The next steps in Wound management

4:15 pm – 4.30 pm

Closing and drawing door prizes