Please complete the following
* = Required Field
* Name of primary care
  practice:
* Contact person:
  Email Address:
* Phone Number:
* Address:
 
Indicate which sessions your team members would like to participate in.
1. Spread Collaborative
Session 1
 September 15 and 16, 2009 - Full
 December 8 and 9, 2009 - Full
 April 6 and 7, 2010
Session 2
 March 9, 2010 - Full
 June 1, 2010 - Full
 September 7, 2010
2. Knowledge Transfer Approach
 May 19, 2009 - Full
 January 7, 2010
 October 13, 2009 - Full
 May 4, 2010
3. Web-based Learning
 Dedicated intake periods (June 2009 to June 2010)
4. Coaching Only
 As staff is available (September 2009 to May 2010)
 
Members of the practice who will participate:
 dedicated physician /
 nurse practitioner
 nurse
 pharmacist
 medical assistant
 dietician
 receptionist
 office manager
 diabetes educator
 social worker
 South West CCAC
 other
 
         
thehealthline.ca © 2012 thehealthline.ca Thehealthline.ca is pleased to facilitate the online Partnerships for Health Project resource. For more information about health services for the South West Region visit www.thehealthline.ca