Fillable REgISTraTIoN form Living Hope - Parkinson Qubec - parkinsonquebec

Living Hope Registration Form Provincial Congress 2015 identification First and Last Names: Address: City: Postal Code: Telephone: Email: q Patient with Parkinsons q Caregiver q Health professional q Person having an interest in Parkinsons SPECIFICATIONS q I am in a wheelchair q I have allergies or dietary restrictions. Please specify: Language spoken: q French q English CHOICE OF WORKSHOPS Thursday, April 23rd 9...
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