CPD Event Registration - Optical Express Group

Optical Express CPD Event Registration

Register your details below to attend our upcoming Optical Express CPD accredited event

Name(Required)

First Last

Email Address(Required)

Phone Number(Required)

GOC Number(Required)

Please select the CPD Event you are attending

Day in the Life Programme

Date Qualified(Required)

Current Employer / Self Employed(Required)

Do you have any allergies or dietary requirements?(Required)

Are you interested in providing post cataract surgery check up on behalf of Optical Express for your referred patient?(Required)

Yes

Current Job Title(Required)

Practice Name(Required)

Practice Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Are you IP qualified?(Required)

Do you have higher qualifications in Glaucoma?(Required)

Do you have a higher qualification in Medical Retina?(Required)

How did you hear about the event?

I agree to be contacted via email to be informed about future Optical Express CPD events(Required)

Yes

The terms and conditions of the placement are below for your information:
1. Your Shadow Programme Placement will take place at an Optical Express surgery clinic selected by Optical Express.
2. The Placement will include up to 24 half-day (4-hour) sessions.
3. The clinic location may change throughout the Placement.
4. All qualified Optometrists who hold a current and valid General Optical Council (GOC) or CORU registration are entitled to participate in this programme. We will verify that you hold such a registration through regulator websites. You must bring photographic ID with you to your first session.
5. The Placement programme is not open to Pre-registration optometrists.
6. Participating optometrists must carry their own (AOP) insurance and provide DBS/PVG clearance evidence.
7. There will be no remuneration paid to participating optometrists.
8. As a condition of your participation in the programme, you will be required to complete a questionnaire at the end of your placement day.
9. Optical Express is not responsible for any costs associated with the Independent Prescribing course or placement.
10. Optical Express will not reimburse any costs or charges associated with attending placement sessions. This includes, but is not limited to: travel, parking, food, accommodation, etc.
11. As a condition of participating in this programme, you agree to be contacted by the Optical Express marketing team regarding a short testimonial about your placement. Optical Express reserves the right to use this testimonial alongside your first name and job title on the Optical Express websites and within Public Relations (PR) activity relating to the Independent Prescribing Placement Programme. Your personal information, with the exception of your name and job title, will not be disclosed. For the avoidance of doubt, the name of your current employer will not be disclosed.
12. This offer may be withdrawn by us at any time, without notice.
13. The participation of each participant in the programme must be confirmed in writing by the Optical Express Clinical Services Director.

Name

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Optical Express CPD Event Registration

Register your details below to attend our upcoming Optical Express CPD accredited event

Optical Express

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