DATE AGENDA TICKETS WHERE RSVP

DATE
Wednesday 29 April 2015
AGENDA
6.30pm Registration
7.00pm Presentation by Mr
Jim Doumakis
8.30pm AMA Victoria
Update & Soap Box
9.00pm CLOSE
AMA Victoria invites you to hear from information technology expert for the medical industry, Jim
Doumakis, Owner of JOSE Health Informatics. Jim works closely with health professionals to
implement and maintain effective and economic Information Technology/Information
Management (IT/IM) strategies to;




lower operating costs
improve business efficiency
comply with relevant medical record retention laws and;
adhere to IT/IM accreditation standards and all eHealth requirements.
Jim has been working in the IT industry for 23 years both in Australia and overseas in a variety of
different roles and has a Bachelor of Arts, History Major and Bachelor of Computing.
This will be followed by an AMA update from an AMA Victoria President, Dr Tony Bartone who
will present the priorities and wins of the AMA to date.
The evening will also include the ‘Soap Box’ segment where we open the floor up, giving you the
chance to have your say with all comments made communicated to the AMA Victoria Board.
RSVP by Friday 24 April to secure your place
TICKETS
FREE FOR MEMBERS
Non members/partners $45
WHERE
The Criterion Hotel
90 Macalister Street
Sale
RSVP
Friday 24 April 2015
To register, please complete
this form and send to
E: rsvp@amavic.com.au
Proudly supported by
F: 03 9280 8786
Or
register online today at
amavic.com.au
Or
Call 03 9280 8722 and speak
to our Events Team
REGISTRATION

Member attending the dinner meeting. Dinner is free for members

Non member/partner attending the dinner meeting—Please find attached a cheque for $45.00
made payable to AMA Victoria or debit $45.00 (inc GST) from my credit card details below.

I will no be attending.
RSVP
Friday 24 April 2015
EMAIL
rsvp@amavic.com.au
Full Name: ____________________________________________________________________________
FACSIMILE
Specialty Area:_________________________________________________________________________
(03) 9280 8786
Organisation: __________________________________________________________________________
AMA Membership No if applicable: _________________________________________________________
TELEPHONE
Contact No: ___________________________________________________________________________
(03) 9280 8722
Email:________________________________________________________________________________
Contact the Events Team on
0409 523 054 after hours if you
wish to change your RSVP
Special Dietary Requirements: ____________________________________________________________
_____________________________________________________________________________________
TAX INVOICE
PAYMENT

Cheque is enclosed (made payable to AMA Victoria)

MASTERCARD / VISA / AMEX
Credit Card No:________________________________________________________________________
Expiry Date:___________________________________________________________________________
This document becomes a ‘Tax
Invoice’ on payment.
Please retain a copy for your
records. ABN 43 064 447 678
COMMITTEE
Cardholder Name:______________________________________________________________________
Chair
Cardholder Signature:___________________________________________________________________
Dr James Brirakare
Amount to be debit: $____________________________________________________________________
Secretary
Dr Darryl Smith
State Council Representative
Dr Rakesh Nandha
Privacy Statement: The information that you provide on this form is “personal information” as defined by the Privacy Act 1988 (the “Act”). This information is being collected for the purposes of processing your registration and keeping you informed of upcoming events. When requested, we may also give your information to sponsors of the event or seminar. The provision of the
information is voluntary, but if this information is not provided, AMA Victoria may be unable to process your registration. If you do not wish for your information to be provided to the sponsors,
please advise the Subdivision/Section Support Coordinator. You have a right of access to, and alteration of, personal information concerning yourself in accordance with the Act. Any enquiries
you may have in relation to our privacy policy should be directed to our Privacy Officer.