Registration Page

Please fill out the following form to register for the ABC Course 2. Please note there are limited spots in each cohort and all forms received after the course is full will be added to a waitlist. You will receive confirmation of your course or waitlist spot shortly after submission of your registration.

Upon confirmation of your spot you will receive payment information.

If you have any questions please contact your Apobiologix representative or info@abconcpharmacy.com.

Addressing Basics in Cancer – ABC

An Oncology Pharmacy Education Program

ABC COURSE 2
Registration Form

Registration Information

First name

Last name

Phone

Mailing Address

Place of Practice

Company and Site

Total years of pharmacy experience

Total years of oncology pharmacy experience

I certify that I have completed ABC Course 1

Please list the cohort number or year

PLEASE SELECT THE CATEGORY THAT BEST DESCRIBES YOUR CURRENT SITUATION*

I am currently a CAPhO member (please provide proof of CAPhO membership)

Option 1

Option 2

I am currently not a CAPhO member

I will register into CAPhO and will provide proof of membership prior to the beginning of the course. Course Fee: $75

upload proof of membership

Course Fee: $100

I will not register into CAPhO. Course Fee: $150

What is your current level of pharmacy oncology experience and interest or objective in taking ABC Course 2?

Do you have any complex patients/challenges that you would like the steering committee to review for potential use as a case study throughout the course?

Yes

For the case study session (session 9), do you prefer that the presenter offers a solution, or to first discuss in a breakout room setting?

Presented Solution

Breakout Discussion

Disclaimer: You will receive a confirmation of registration receipt sent to the email provided on the registration form upon submission. Confirmation may take a few minutes. Please note that confirmation of registration does not confirm a place in the Course.

Thanks for submitting!