NYKidney DATE ECHO 6 Registration

DATE ECHO Registration

Thank you for your interest in the NYKidney DATE ECHO series. The ECHO DATE sessions consist of (5) 60 minute sessions with a brief presentation followed by a case and Q&A. The program uses the ZOOM platform and the use of a webcam is encouraged for face to face interaction. If you do not have a camera NYKidney can provide one as it is a requirement if you are attending the sessions for credits. Please register below.

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* 1. Contact information

Name

Transplant/Dialysis Center

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Degree/License type

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* 3. Position at your center

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* 4. How did you hear about DATE ECHO?

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* 5. Will you be attending for Educational Credits?

Yes

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* 6. I understand that I must attend all 5 sessions if I am attending for Educational credits.

Yes

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* 7. I understand that appearing on camera is a requirement for educational credits.

Yes