Goals of Care On-line Policy Module Registration

Goals of Care On-line Policy Module Registration
This information is collected for the sole purpose of demonstrating Clinician readiness for implementation of the Advance Care Planning: Goals of Care Designation (Adult) policy.
 
First Name:*
 
Last Name:*
 
Email Address:
     (please supply an Alberta Health Services email address, if applicable)
 
Site/Facility:
   
Discipline:
 
Are you an employee of Alberta Health Services?* 
 
Do you work or practice within the geographical boundaries of Alberta Health Services?*
     (either affiliated or non-affiliated)
 
 
Disclaimer / Privacy Statement
Confidentiality Warning

Absent the use of encryption, the Internet is not a secure medium and privacy cannot be ensured. Internet e-mail is vulnerable to interception and forging. Alberta Health Services will not be responsible for any damages you or any third party may suffer as a result of the transmission of confidential information that you make to Alberta Health Services through the Internet, or that you expressly or implicitly authorize Alberta Health Services to make, or for any errors or any changes made to any transmitted information.

  Privacy/Disclaimer