Exit this survey 

2012 OHSU Pain Awareness and Investigation Network

 

*

1. Name

Name

*

2. E-mail

E-mail

*

3. Position?

traineefacultyprovider

Position?

4. Specialty?

Specialty?

*

5. I will present a poster.

I will present a poster.   Yes No

*

6. I would like to sign up for continuing education credit

I would like to sign up for continuing education credit   Yes No