Market Engagement Event Booking Form Dartford, Gravesham and Swanley Clinical Commissioning Group and Swale Clinical Commissioning Group Market Engagement Event for Diagnostic Services Diagnostic Services : 1. Direct Access Magnetic Resonance Imaging (DA MRI) 2. Direct Access Non-Obstetric Ultrasound Service (DA NOUS) Date: Tuesday, 12th January 2016 Time: 13:00pm Venue: Philip Farrant Education Centre, Darent Valley Hospital Darenth Wood Road Dartford DA2 8DA Provide the following attendance Details Organisation Very brief description of experience/interest that you organisation has in delivering diagnostic services. (this is not an assessment) Nominated Contact Telephone Number E-mail Name of delegate attending Send this form to the following e-mail address mail to: jo.beech@nhs.net Confirmation and further event details may be sent to the nominated contact in due course. Working with Medway Council Procurement Services