Thank you for taking the time to register for the LIFT-ECHO clinic. Completing this survey will automatically add you to our Zoom Meeting invite list.

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* 1. Full Name

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* 2. Email Address

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* 3. Title or Clinical Role

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* 4. Participating in our sessions requires Zoom Conferencing software, which can easily be downloaded onto your phone, computer or tablet from the Zoom website. Would you like additional information on how to install and use Zoom?

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* 5. Questions or comments?

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