ARM - Application to Become a Mentor/Mentee

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* 1. Contact Information

First Name, Last Name

Email

Phone

Practice/Affiliation

Title

Years of Experience in REI

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* 2. Do you want to be a mentor or mentee?

Mentor

Mentee

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* 3. Check areas of interest and/or expertise.

Practice Management

Operations

Marketing

Billing and Coding

Human Resources

Customer Service

Risk Management

HIPAA/OSHA

Clinical Management

Lab Management

Other (please specify)

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* 4. In-Person Connection: ARM will host the first official ARM Mentoring Program event at the ARM&NPG 2024 meeting. Will you be attending?

Yes

No