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National Convening on Evidence-Based Behavioral Health
*
1.
Please complete the information below:
(Required.)
First Name
Last Name
Title
Company
Email
*
2.
Indicate all activities you will participate in:
(Required.)
March 11- Pre-Convening Reception (5-6:30 CST)
March 12– PCORI Convening (8:30-3:00 CST)
3.
If you are a member of a coalition, please provide their name below:
Thank you for registering for the PCORI Convening.
For questions, please contact Margaret Rehayem at Margaret.Rehayem@outcomereferrals.com
