here - Medico-Legal Society of Queensland Inc.

Transcription

here - Medico-Legal Society of Queensland Inc.
One World, One UN, 193 Jurisdictions
The
Medico-Legal
Society of
Queensland Inc.
Medico-legal challenges of working
across international boundaries
April Dinner
23 April 2015
Guest Speaker: Dr Jillann Farmer
Dr Jillann Farmer is Director, Medical Services Division
of the United Nations, based at the headquarters in
New York. Prior to this, she was the Medical Director
of the Patient Safety Centre in Queensland Health,
and the inaugural Director of the Clinician Performance
Support Service. Jillann worked for the Medical Board
of Queensland, Medicare Australia, and was Director of
Medical Services of the Caboolture Hospital.
Jillann holds fellowships of both RACGP and RACMA
and is a graduate of the University of Queensland and the
University of New South Wales. In her current role, which
she took up in October 2012, Jillann has overarching
responsibility for the UN’s internal healthcare system,
which involves care for staff dispersed throughout the
world, sometimes in difficult and dangerous locations. In
2014, she led the UN’s health services response for staff
serving in the Ebola Outbreak area.
VENUEThe Ballroom,
Victoria Park Golf Complex,
Herston Road, Herston
Complimentary on-site parking
DATE
NEW
TIME
Thursday 23 April 2015
6.00 pm for 6.30 pm
DRESS Lounge suit for gentlemen
COST
Members and partners:
$125 each guest *
Non-members and partners:
$140 each guest
RSVPThursday 16 April 2015
Tickets will not be issued.
Collect your namebadge at the dinner.
One World, One UN,
193 Jurisdictions
This form may be completed on
screen. Please return this form
by Thursday 16 April 2015 to:
Medico-Legal Society of Queensland Inc.
Medico-legal challenges of working
across international boundaries
Thursday 23 April 2015
New Time: 6.00 for 6.30pm
PO Box 2624, Toowong, Q 4066
Email: office@medico-legal.com.au
Tel & Fax: 07 3871 0595
ABN: 95 306 570 547
My name:
Mr
Mrs
Miss
Ms
Dr
Prof
Justice
Judge
............................................................................................................................................
(Preferred Name in BLOCK LETTERS please)
Please indicate profession:
Doctor
Lawyer
Associate
Contact telephone number:..............................................................................................
Mrs
Miss
Member * & partner:
$125 per guest x .....................
Non-member & partner:
$140 per guest x .....................
Ms
Dr
Prof
Justice
0
0
Total amount owing $ .....................
I am interested in joining the MLSQ. Please email a membership form.
Other
............................................................................................................................................
Mr
0
Cost:
*Current MLSQ members only
Preferred email address:..................................................................................................
My partner’s name:
No. of tickets
Judge
............................................................................................................................................
(Preferred Name in BLOCK LETTERS please)
Special requirements: (eg: dietary, wheelchair access)
............................................................................................................................................
Payment Options:
• P
ayment is required to confirm reservation as numbers are limited.
Tentative bookings cannot be held.
• C
ancellation Policy: Refund for cancelled individual tickets available up to 20 April 2015.
Cancellations must be in writing.
• Prices include GST.
My cheque payable to: Medico-Legal Society of Queensland Inc. is enclosed
ank transfer to MLSQ Inc Account: BSB 084-424 Account Number 942591297
B
Please include attendee’s name in the transaction reference and advise payment by
email to office@medico-legal.com.au
Please debit my credit card:
Mastercard
Visa
Expiry date:
Credit Card Number:
............................................................................................................................................
Preferred seating arrangements:
Cardholder:...........................................................................................................................
............................................................................................................................................
Signature: .............................................................................................................................
(Electronic Signature Accepted)