HeFSSA Heart Failure Specialist Treatment and Device Therapy Symposium, 5

HeFSSA Heart Failure Specialist Treatment and Device Therapy - CPD Accredited Symposium Registration 2026

5 - 6 June 2026 | Vineyard Hotel, Cape Town
TERMS, CONDITIONS & CONSENT*
HeFSSA Symposium 2026 Programme
Meeting Registration*

Yes, I can attendRegret, I cannot attend
Please indicate*

I am a Faculty MemberI am a South African delegateI am not a South African delegate
Please Note: Educational Support
Kindly note that the Educational Support Portal is now closed for all delegates as we have reached capacity. No more travel & accommodation grants are available. Thank you for your understanding.
I am a HeFSSA Member (We highly recommend becoming a member of SA Heart and HeFSSA)

YesNoUnsure

Specialty*

CardiologistElectrophysiologistCardiology Fellow (Year 1)Cardiology Fellow (Year 2)Cardiology Fellow (Year 3)Specialist Physician (Internist-FCP Only)Cardiac PhysiologistCathlab NurseClinical PharmacistClinical TechnologistGeneral Practitioner with a Special Interest in Heart FailureNurse with a Special Interest in Heart FailureRadiographerOther
Specialty Number
Please upload Letter of Nomination from your Head of Department (HOD) *

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Title*

DrProfAssoc. ProfOther
First Name*
Surname*
E-mail Address*
example@example.com Please ensure this is correct as this address will be used to forward your CPD certificate
Mobile Number*
Medical Council Registration Number (Complete with Council abbreviation followed by number for example: MP 0123456, SANC 12345678, P 0123456, etc.)*
Type N/A if not applicable.
Primary Hospital Affiliation*
Type N/A if not applicable.
Practice Sector*

Private SectorPublic SectorPrivate and Public Sector
Country*

South AfricaOther
Province*
City (Please indicate your city/town not your suburb. e.g. Bisho, Cape Town, George, Polokwane, Qonce, Soweto etc)*
Special Dietary Requirements**
Travel & Accommodation ( Limited Support Available to Cardiologists, Electrophysiologists, Cardiology Fellows, Physicians with a Special Interest in Heart Failure. )*

I do not require flights or accommodationI do not require flights, I do require accommodation for Friday 5 June 2026 (availability will be confirmed one week prior to the meeting)I require flights to Cape Town (maximum grant available for flights is R4,500). Accommodation will be booked according to the confirmed flight itinerary with flights arriving mid-morning Friday, 5 June, and to depart late afternoon 6 June following the workshop.
I would like to attend the Networking Dinner, Friday 5 June 2026 at Vineyard Hotel - Only available for delegates with hotel accommodation on 5 June 2026*

YesNo
Kindly submit your ID for travel and/or accommodation arrangements*

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CONSENT: I consent to the HeFSSA Symposium Organisers sharing my Personal Informationwith the Travel Agent and Venue for the purpose of booking flights,accommodation, and facilitating travel arrangements.*

Yes
Comments
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HeFSSA Heart Failure Specialist Treatment and Device Therapy - CPD Accredited Symposium Registration 2026