Attendance Intentions for December 6, 2012

* 1. First Name

* 2. Last Name

* 3. Title

* 4. Organization

* 5. E-mail Address

* 6. Do you plan to attend the Trends & Technology Network meeting on Thursday, December 6, 2012 at Luther Manor in Wauwatosa?

* 7. This meeting will focus on trends and technology (not EHR/EMR). Please list up to three specific issues or topics related to trends and technology that you are interested in discussing at the December 6, 2012 meeting of the Trends & Technology Network.

* 8. Do you have a specific problem related to trends and technology on which you would like to get input from your peers at the December 6, 2012 network meeting? If so, please give a brief description of this problelm. We will get to as many of these issues as time permits during our case study discussion.