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ClinCoach Registration Form

To register please complete and email the registration form below by clicking submit.

You can also print the form and fax it to ClinCoach at 902-464-3966
If you have any questions please call us at 902-463-9846
or e-mail at pjwright@clincoach.com or info@clincoach.com

Name:
Company:
Address:
City:
Province:
Postal Code:
Home Telephone
Work Telephone
Email
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Please check course(s) which you plan to attend:
The ICH and Good Clinical Practice Guidelines	Check here! Dates

The Essentials of Clinical Research	Check here! Dates

Get Involved in Clinical Research! How to Become a Research Coordinator	Check here! Dates

Intermediate Clinical Research Coordinator Training Program	Check here! Dates

Clinical Research Associate Training Program	Check here! Dates

Investigator Training Program	Check here! Dates

Survivor Challenge: Create the Clinical Trial Tools to Survive an FDA Audit	Check here! Dates

Health Canada Therapeutic Products Directorate (TPD) Regulations for Clinical Trials	Check here! Dates

Research Ethics Board Training Program	Check here! Dates

Projects Managers Training Program	Check here! Dates

Clinical Trials International Regulations: Survivor Challenge for a GCP Inspection	Check here! Dates

Privacy and the Implications in Clinical Research	Check here! Dates

Course price from Dates & Locations page Click here to get prices

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Method of Payment *Please note that 6% GST will apply to all courses	Check Money Order Visa
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ClinCoach Privacy Commitment:

At ClinCoach we respect your privacy and the privacy of your contact information. We will keep your contact and payment information strictly secure and confidential.

Printable Fax Form Here!

Send us your contact information and we will gladly reply to you:

ClinCoach Inc.
15 Alderney Drive, Suite 5A
Dartmouth, NS
B2Y 2N2
Canada

Tel: (902) 463-9846
Fax: (902) 464-3966

info@clincoach.com

Fees include: Course materials, luncheon and break refreshments

Program agendas:

ClinCoach provides flexible agendas based on the learning needs of the audience. Feel free to contact us should you wish to identify any objectives you have for these courses.
Registration will begin at 8:00am. Courses to begin at 8:30am and run until approximately 5:00pm.

Professional Development Recognition:

Congratulations! By attending our programs you will obtain ClinCoach Credits which are continuing education credits. You will also receive a certificate which will verify your learning accomplishments.

Certificates:

Learners will receive a ClinCoach training certificate which will act as documentation for the FDA and Health Canada TPD as achieving the training objectives provided by the course.

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