ECHO and Online Learning Registration

This form is for applying to attend our ECHO programmes and related events. Please read our privacy statement below and use this form to give Highland Hospice permission to store your data within the ECHO Project.

If you have difficulties using this form, or you would like more information about the topics before you register, please contact us directly at echo@highlandhospice.org.uk.

There is no charge for ECHOs - they are free to attend.

Title

First name

Last name

Organisation / Employer, eg NHS

Place of work

Organisation/Employer Postcode

Occupation

Email (please use your NHS or organisation email)

You must use an NHS or organisation email

Twitter account name

Share your account name to keep in touch with us @HHProjectECHO (optional)

Some of these programmes are suitable for different discplines and some are relevant to a particular field of practice. If you are unsure about whether it suits your needs, please contact us at echo@highlandhospice.org.uk

UHI students only - I consent to my details being shared with UHI for Non-medical Prescribing evaluation purposes

Project ECHO Data Agreement Consent

Please read the Project ECHO Privacy Notice below and confirm your agreement as appropriate.

I have read and understood the Project ECHO Privacy Notice and grant permission for Highland Hospice to manage my personal data in connection with Project ECHOI consent to the use of my name and image for Project ECHO administration and videographyI consent to the public use of my name and image for both internal and external news releases, publications, promotional videos and social media posts

Project ECHO Privacy Notice

Data protection and personal data
The collection of information from individuals whether online or manually is likely to be personal data as defined by relevant UK legislation. If you wish to participate in any way in Project ECHO, clinic attendance and speciality information is required by UNMHSC in the United States.

Information about Project ECHO
Project ECHO has been developed and is owned by the Regents of the University of New Mexico (UNM), the rights to which have been assigned or licensed to the University of New Mexico Health Sciences Centre (UNMHSC). Project ECHO communities track their growth and activities within the iECHO database.

Where will your data be stored?
Your full data will be stored securely by Highland Hospice (see the Highland Hospice Privacy Notice here). Personal identifiable data is pseudonymised before storing separately in the iECHO database. Access to your data is strictly limited and password protected.

How will your data be used in IECHO?
Your data is combined and measured in various ways for analysis. It may be used for reporting to funding and governmental entities, for research related to the movement, for data quality assurance activities and in decision making related to new initiatives. Highland Hospice will not use your data for any other purposes.

Accuracy, access and retention
Highland Hospice have a responsibility for ensuring data stored is accurate. Upon request, your HUB can provide details of your stored personal data. Highland Hospice have a Privacy Notice and your personal data can be removed at your request. This may take up to one month to clear from backups.

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