16th May 2015, Saturday

8.00am

REGISTRATION

8.30AM

Welcome Speech by Organizing Chairman

Overview of Stroke Prevention, Complications & Sequelae in Post CVA
Patient in Primary Care by Prof Dato Dr Raymond Azman Ali, Dean, Medical Faculty and Director

PARTICIPANT REGISTRATION FORM

Name :
Address :

UKM Medical Centre.

9.30am

An Overview of Dementia, Primary Care Perspective by: Dr Peter Celestine,

10.15am

TEA BREAK

10.45am

Why Asthma Kills? What Primary Care Doctors Should Know by: Prof Dr Fauzi Bin Md Anshar,
Consultant Respiratory & Internal Medicine Physician, Prince Court Medical Centre.

11.30am

TBA - by: Novo Nordisk

12.15pm

Paediatric Obesity, Primary Care Intervention by: Dr Lim Song Hai, Practice: Paediatric Endo-

1.00pm

SPONSERED LUNCH SYMPOSIUM

Practice : Consultant Geriatrician, Hospital Queen Elizabeth, Kota Kinabalu.

Contact No:

HP:
Office:

MMA Member :

YES:

Email:
Fax:
NO

Please write your membership no. here.

YES

Vegetarian :

Kindly tick your preference

REGISTRATION FEE

NO
MMA
Member

Non MMA
Member

EARLY BIRD by 28TH MARCH 2015

RM220.00

RM300.00

RM300.00

LATE BIRD

RM270.00

RM350.00

RM350.00

TBA - by: Bayer

ULTRASOUND PRE CONFERENCE 15TH MAY 2015

RM150.00

RM300.00

2.45pm

Autism, The Role of Primary Care Doctors by: Dr Norhayati Nordin, Director & Consultant Child
and Adolescent Psychiatrist, Hospital Mesra Bukit Padang.

MODE OF PAYMENT

3.30pm

TBA - by: Abbott

4.15pm

Debate Session: Dispensing Separation contributes to better healthcare in Malaysia

crinologist, Hospital Likas, Kota Kinabalu.

17th May 2015, Sunday

8.00am

REGISTRATION

8.30AM

Platelet Rich Plasma, The Edidence for Treatment by: Dr Saifuzzaman Yusoff, PRP

Practitioner. Klinik Famili Tawau , Sabah.

9.15am

TBA - MSD

10.00am

TEA BREAK

10.30am
11.15am
12.00pm
1.00pm
2.45pm

How to deal with side effects of Contraceptives by: Dr John Teo, Consultant Obstetrician

and Gynaecologist, Kota Kinabalu.

TBA - Nestle

4.15pm
5.00pm

Please fax or email the bank-in slip together with completed registration form.

Bank in
Cash

Cash

Nurse / Paramedic

Cheque

LPO

Kindly tick your preference

Amount
Ref. no / Cheque no. / LPO no.

Payment should be made payable to:

MALAYSIAN MEDICAL ASSOCIATION SABAH BRANCH.

Account no:

CIMB 1002-0006533-05-2

TERMS & CONDITIONS PLEASE TAKE NOTE:

* Payment or proof of payment must be attached with registration form.
* All successful registration will be notified by SMS.
* All payments are non-refundable and receipts will be issued on the day of the conference.
* Fees must be paid in advance of the event, by the 15th May 2015, and made payable in Ringgit Malaysia (RM).
* Registrations are non transferable and not refundable.
* Certificate of Attendance will only be provided to participants who attend the conference/workshop.
* Secretariat contacts: 012-805 5009 Mdm. Elsie Jonson / 019-744 0249 Ms. Ros Rozaliah Modili
* Please send completed registration form and accompanying fees to: MMA SABAH BRANCH, P.O Box 20953, 88766
Luyang, Sabah or Fax: 088-538804 or Email: mmasbh7gp@yahoo.com.my

Prevention & Detection of Gynecological Cancers by: Dr Mary Jenifer Makajang,

Consultant Obstetrician Gynecologist, Kota Kinabalu.

Lunch Symposium - Toshiba

Occupational Lung Disease, What Primary Care Practitioners Should Know by:
Prof Dr Krishna Gopal Rampal, Professor of Community Medicine, Perdana University Graduate

School of Medicine, Selangor.

3.30pm

Fees are inclusive of lunches & tea breaks during conference only.

Child Abuse and the child Act, Whats Important to Primary Care Doctors
by: Dr Fauziah Zainal Abidin, (onsultant Paediatrician, Kota Kinabalu.
Paediatrics Orthopaedics, What to do in Primary Care by: Dr Luvan Markandan,

.......................................
Sign
Date:

FOR OFFICE USE ONLY

Date received:
Reference no:

Practice: Pediatric Orthopedic Consultant, Hospital Likas, Kota Kinabalu.

TEA BREAK

Invoice no:

Received by:
Via:

Others: