INPCS Research in Neuropalliative Care Webinar Series

Please complete the form below to be added to an email list to be notified of future Research Webinar dates. It would also be helpful to us if you could make suggestions for future topics or volunteer to be a presenter.

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* 1. What is your name?

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* 2. What is your preferred email address?

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* 3. What is your primary country of residence?

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* 4. What is your primary role?

Physician

Advanced practice provider (Nurse practitioner, physician assistant)

Nurse

Social Worker

Chaplain

Professional Research Assistant

Patient or family caregiver

Other (please specify)

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* 5. Do you have any suggested presenters or articles for Journal Club sessions?

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* 6. Would you be interested in presenting at a Works-In-Progress or Journal Club session?

yes