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Informatics Grand Rounds Online RSS Evaluation - (ModQ212)
2.
Personal Information
Evaluations are time stamped and credit will only be awarded for evaluations submitted on the same day as the conference.
*
1.
First Name:
(Required.)
2.
Middle Initial:
*
3.
Last Name:
(Required.)
*
4.
Postal/Zip Code (of employment address):
(Required.)
*
5.
Email Address:
(Required.)
*
6.
Are you a physician?
(Required.)
Yes
No
