Rural HPC CoP Membership Form

Hospice Palliative Care Ontario - Rural Hospice Palliative Care CoP Membership Form

Welcome
Communities of practice are groups of people who share a concern or a passion for something they do and learn how to do it better as they interact regularly. The Rural Hospice Palliative Care Community of Practice (HPC CoP) was created to facilitate discussions, networking, information sharing and two way communication between individual CoP members with an interest in rural hospice palliative care and HPCO to support shared dialogue and opportunities through the CoP.

Goals

To facilitate a forum for dialogue and exchange of information

To provide opportunities to support individuals within the field

To foster collaboration and innovation

To create synergy and identify common projects

To enhance capacity

To promote best practice guidelines

To identify and communicate system issues related to rural hospice palliative care

To develop as an active and engaged community of practice advancing the goals as defined by its members.

Question Title

* Are you a current member of Hospice Palliative Care Ontario?

Yes

No

Question Title

* If not, would you be interested in becoming a member of Hospice Palliative Care Ontario?

Yes

No

Question Title

* Contact Information

Name

City/Town

Position/Title and Organization/Affiliation

LHIN Area (if known)

Email Address

Alternate Email Address

Phone Number