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5th Annual FL-PR CReSD Stakeholder Meeting - 10/2 and 10/3 - Hilton Downtown Miami - Miami, FL
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1.
Registrant Name
(Required.)
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2.
Hospital Affiliation
(Required.)
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3.
Profession
(Required.)
Physician
Nurse Practitioner
Nurse
Physician Assistant
Resident/Fellow
Medical Student
Paramedic
Physical, Occupational,Speech Therapist
Psychologist
Hospital/Health Care Administrator
Researcher
Other (please specify)
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4.
Best phone number to contact you?
(Required.)
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5.
Best email address to contact you?
(Required.)
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6.
Will you be attending the welcome reception on Monday, 10/2 (6pm tentative start time)?
(Required.)
Yes
No
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7.
Would you prefer a 9 AM start time for the 10/3 (Tuesday) all-day meeting?
(Required.)
Yes
No
Other (please specify)
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8.
Please list some topics and/or breakout sessions of interest that you would like discussed at this meeting?
(Required.)
