Registration Page

Please fill out the following form to register for ABC Course 1. 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 1
Registration Form

Registration Information

First Name

Last Name

Phone

Mailing Address

Place of Practice

Company and Site

Province

Total years of pharmacy experience

Total years of oncology pharmacy experience

Course Pre-Requisites*

I confirm that I have completed the CAPhO Oncology Basics course.

upload CAPhO Oncology Basics certificate

Upload supported file (Max 15MB)

PLEASE SELECT THE OPTION THAT BEST DESCRIBES YOUR CURRENT SITUATION*

I am currently a CAPhO member (please provide proof of CAPhO membership). Course Fee: $100

Option 1: I will register into CAPhO and will provide proof of membership prior to the beginning of the course. Course Fee: $75

Option 2: I will not register into CAPhO. Course Fee: $150

upload proof of membership

Upload supported file (Max 15MB)

I am currently not a CAPhO member

What is your current level of pharmacy oncology experience and why are you interested in participating in the ABC program?

DISCLAIMER: The ABC Program is proudly sponsored by Apobiologix/Apotex through an unrestricted grant and independent of all buying/prescribing decisions for Apobiologix/Apotex products. The purchase of Apobiologix/Apotex products is not required to be a participant in the program. Support of ABC is not given in exchange for a purchase of Apobiologix/Apotex products nor a promise to purchase Apobiologix/Apotex products.

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