The Hong Kong Practitioner VOLUME 26 / November 2004

The Application Form can also be downloaded from
<http://www.hkcfp.org.hk>
 
 
NAME :  
   
 
ADDRESS :  
   
 
TEL NO. :  
   
 
FAX NO. :  
   
 
     
PROFESSION : FAMILY PHYSICIAN (Please tick )
    SPECIALIST  
      (FIELD _____________________________)    
           
    MEDICAL STUDENT  
    OTHERS  
      (Please specify :____________________ )    
           
           
I wish to become a member of the HKCFP, please forward information regarding membership of the HKCFP with an application form.
 

Please return completed form to:

The Hong Kong College of Family Physicians,
Room 701, 7th Floor,
Hong Kong Academy of Medicine Jockey Club Building,
99 Wong Chuk Hang Road, Aberdeen, Hong Kong.
Fax : 2866 0616 or
Tel : 2528 6618 for further information