Registration Form - 2023 McGill Department of Medicine High Value Healthcare Symposium
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1.
Family Name
(Required.)
*
2.
First Name
(Required.)
*
3.
Profession
(Required.)
MD
PhD Scientist
Resident / Student
Other
Other (please specify)
4.
CMQ License # (required for MDs only)
*
5.
Division
(Required.)
6.
Site
MUHC / RI MUHC
JGH / LDI
SMH
Other (please specify)
*
7.
Email Address
(Required.)
8.
Will you be attending in-person or by Zoom?
In-person (RI Auditorium - E S1.1129)
Zoom (link will be emailed to you)