DATE Wednesday 29 April 2015 AGENDA 6.30pm Registration 7.00pm Presentation by Mr Jim Doumakis 8.30pm AMA Victoria Update & Soap Box 9.00pm CLOSE AMA Victoria invites you to hear from information technology expert for the medical industry, Jim Doumakis, Owner of JOSE Health Informatics. Jim works closely with health professionals to implement and maintain effective and economic Information Technology/Information Management (IT/IM) strategies to;     lower operating costs improve business efficiency comply with relevant medical record retention laws and; adhere to IT/IM accreditation standards and all eHealth requirements. Jim has been working in the IT industry for 23 years both in Australia and overseas in a variety of different roles and has a Bachelor of Arts, History Major and Bachelor of Computing. This will be followed by an AMA update from an AMA Victoria President, Dr Tony Bartone who will present the priorities and wins of the AMA to date. The evening will also include the ‘Soap Box’ segment where we open the floor up, giving you the chance to have your say with all comments made communicated to the AMA Victoria Board. RSVP by Friday 24 April to secure your place TICKETS FREE FOR MEMBERS Non members/partners $45 WHERE The Criterion Hotel 90 Macalister Street Sale RSVP Friday 24 April 2015 To register, please complete this form and send to E: rsvp@amavic.com.au Proudly supported by F: 03 9280 8786 Or register online today at amavic.com.au Or Call 03 9280 8722 and speak to our Events Team REGISTRATION  Member attending the dinner meeting. Dinner is free for members  Non member/partner attending the dinner meeting—Please find attached a cheque for $45.00 made payable to AMA Victoria or debit $45.00 (inc GST) from my credit card details below.  I will no be attending. RSVP Friday 24 April 2015 EMAIL rsvp@amavic.com.au Full Name: ____________________________________________________________________________ FACSIMILE Specialty Area:_________________________________________________________________________ (03) 9280 8786 Organisation: __________________________________________________________________________ AMA Membership No if applicable: _________________________________________________________ TELEPHONE Contact No: ___________________________________________________________________________ (03) 9280 8722 Email:________________________________________________________________________________ Contact the Events Team on 0409 523 054 after hours if you wish to change your RSVP Special Dietary Requirements: ____________________________________________________________ _____________________________________________________________________________________ TAX INVOICE PAYMENT  Cheque is enclosed (made payable to AMA Victoria)  MASTERCARD / VISA / AMEX Credit Card No:________________________________________________________________________ Expiry Date:___________________________________________________________________________ This document becomes a ‘Tax Invoice’ on payment. Please retain a copy for your records. ABN 43 064 447 678 COMMITTEE Cardholder Name:______________________________________________________________________ Chair Cardholder Signature:___________________________________________________________________ Dr James Brirakare Amount to be debit: $____________________________________________________________________ Secretary Dr Darryl Smith State Council Representative Dr Rakesh Nandha Privacy Statement: The information that you provide on this form is “personal information” as defined by the Privacy Act 1988 (the “Act”). This information is being collected for the purposes of processing your registration and keeping you informed of upcoming events. When requested, we may also give your information to sponsors of the event or seminar. The provision of the information is voluntary, but if this information is not provided, AMA Victoria may be unable to process your registration. If you do not wish for your information to be provided to the sponsors, please advise the Subdivision/Section Support Coordinator. You have a right of access to, and alteration of, personal information concerning yourself in accordance with the Act. Any enquiries you may have in relation to our privacy policy should be directed to our Privacy Officer.