Intra Uterine Device Insertion Form

You will receive an email confirming your enrolment date and instructions for payment. Please contact Agora Medical Education if you don’t receive it for some reason:


Registration $725 GST inclusive

Name *
Practice Address *
Practice Address
Please list any/all dietary requirements.
Please Answer The Following To Assist With Course Allocation

Cancellation Policy

All cancelations must be made in writing. Cancelations received more than 30 days prior to the course commencement date will receive full refund minus $50.00 administration fees. A refund of 50% of the registration fee will be made on cancellations received less than 30 days prior to the course commencement date.

In the event of the course being cancelled for any unforeseen reason, registrants will be notified no later than 2 weeks prior to course commencement date and a full refund will be issued.