Instructions for Health Service Provider Institution Representative Certification

 

 
 
 
 
 
(Advice as at February 2019)

Certification Form Section 6 ‘Health Service Provider Institution Representative’ is to be completed by the following institutional representatives (or delegate). If your institution is not listed then please contact Amanda Cleaver (9386 9880 or amanda.cleaver@rainefoundation.org.au) for assistance.

 

Fiona Stanley Hospital

Dr Paul Mark, Director of Clinical Services
 

Graylands Hospital

Dr Viki Pascu, Director of Clinical Services
 

King Edward Memorial Hospital

Associate Professor Graeme Boardley, A/Executive Director
 

Pathwest

Frances Brogden, A/Deputy Executive Director
 

Perth Children’s Hospital

Dr Ian Gollow, A/Executive Director Medical Services
 

Royal Perth Hospital

Dr Lesley Bennett, Executive Director
 

Sir Charles Gairdner Hospital

Janet Zagari, A/Executive Director


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