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UC Department of Radiology Alumni Survey

Dear Alumni:

I am interested in what happens to trainees once they leave the University of Cincinnati Radiology Residency program. I would like to provide a means for you to relate news to other alumni via the department's newsletter, "Imaging Matters". To help me facilitate this communication, please complete the following survey.

Thank you for your help.

Best,
Jannette Collins, MD, MEd, FCCP, FACR
Ben Felson Professor and Chair of Radiology
University of Cincinnati College of Medicine

*1.Name:(Required.)

2.Class Year:

3.Mailing Address:

Address 1:

Address 2:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

4.Is this your home address or work address?

Home

Work

5.Work Phone Number:

6.Home Phone Number:

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