Please use the above link for online registration for NLPCA & CHPCA
Palliative Care Association Joint Membership Form
NLPCA & CHPCA
Please check the option desired:
New Membership Ο Individual ($50.00) Ο Renewal Ο
Membership Information: Please print
Title First Name Last Name
City Province Postal Code
Health Region Telephone Fax
Role in Care:
Ο Nurse Ο Physician Ο Volunteer Ο Pharmacist
Ο Social Worker / Counselor Ο Clergy/pastoral/spiritual Ο Occupational Therapist Ο Physiotherapist
CHPCA Newsletter (AVISO) sent by e-mail? Yes Ο No Ο
CHPCA Interest Groups– The CHPCA has created 8 Interest Groups for members with similar interests. If you would like to be a member of an Interest Group please indicate the group(s) below. You must provide your e-mail address above to be invited to be connected to an electronic list serve for some of the Interest Group indicated.
Ο Aboriginal Issues Ο Social Workers/Counsellors Ο Long Term Care/Continuing Care Ο Rural and Remote Issues
Ο Pediatric Issues Ο Spiritual Advisors Ο Volunteers
** Nurses Group Membership– Registered Nurses who wish to be a member of the CHPCA Nurses Group are to pay a $20 membership fee directly to CHPCA.
**Being a joint member also offers regular updates in provincial and national palliative care issues and reduced rates to provincial and national conferences**
Please make cheque payable to:
NEWFOUNDLAND AND LABRADOR PALLIATIVE CARE ASSOCIATION (NLPCA)
P.O. Box 39023
390 Topsail Road
St. John’s, NL A1E 5Y7
Membership each year is from May 1 – April 31.