Comprehensive Advanced Palliative Care Education (CAPCE) Program Registration

Register for the CAPCE Program

You must answer all of the questions asked to complete the registration process. It should take about 5 minutes. You cannot save or re-enter the survey. Notification of acceptance or decline will be sent to all applicants within one week of the registration close date.

The Fundamentals of Hospice Palliative Care and the Fundamentals Enhanced programs are both prerequisites for CAPCE. If you have not completed these courses, please contact your local Palliative Pain & Symptom Management Program. Contact information is found at www.palliativecareswo.ca.

If you have further questions, please contact our Program Assistant Betty Tucker.

Personal Information:

Personal Details:
Home Address:

Organization Details:

Your Role at Work:

What is your professional designation?
Which of the following describes your area of practice? Choose all that apply.
Have you completed the Fundamentals of Palliative Care or are you in the process of doing so? Proof of completion will be required upon acceptance.
If attending the London Middlesex/Oxford Elgin regions, please select one of the following set of training dates:
How did you hear about the CAPCE Program?

Opt in or out permission:

The Southwestern Ontario Palliative Pain & Symptom Management Consultation Program  (PPSMCP-SWO) requests the following permissions to contact you regarding research or education events.

We take your privacy seriously and we commit and confirm that we will not share your details and information and would only make contact with you from this program related to the two situations above (education events or research potential). We do maintain our registration information for 10 years. 
PPSMCP-SWO may use this email to send information about research opportunities regarding the education programs.
PPSMCP-SWO may use this email to send information about future PPSMCP-SWO program education and events.

This personal information is being collected under the authority of the Public Hospitals Act R.S.O. 1990, CHAPTER P.40 for the purpose of contacting the sender in response to an inquiry. If you have questions about the collection of this information, please contact Privacy and Freedom of Information, St. Joseph's Health Care London, 268 Grosvenor Street, London, ON,519-646-6100 ext. 65591.