International CTEPH Association

Kindly complete your registration by providing the details below.

Personal & Professional:

Last Name:

MacDonald

First Name:

Murry

Middle Initial:

Phone #:

001 416 340 4800 ext 5274

Hospital / Institution / Company:

Toronto General Hospital

Classification:

Nurse

What is your expectation from becoming a member of the ICA?:

Updated 2015

Address:

e-Mail:

murry.macdonald@uhn.ca

Street and House Number:

200 Elizabeth Street

City:

Toronto

Zip Code:

M5G 2C4

State:

Ontario

Country:

Canada

Membership benefits:

Site Information:

program for the treatment:

Yes

program set up:

2005

currently taken care:

300

patients operated:

Yes

approximate number:

normally referred: