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NAHRI Networking Group Registration
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1.
I would like to join the following NAHRI Networking Groups
(Required.)
MAC: NGS
MAC: Novitas
MAC: Palmetto
MAC: CGS
MAC: WPS
MAC: Noridian
MAC: First Coast Service Options
Facility type: Children’s hospital
Facility type: Academic medical center
Facility type: Cancer center
Facility type: Physician practice
Facility type: Non-profit
Facility type: Critical access hospital
2.
If you would like to propose a new NAHRI Networking Group, please use the text field below to describe the topic/focus of the group you are proposing.
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3.
I would be willing to serve as a Networking Group Leader. This role is responsible for collecting agenda items, taking meeting notes, and acting as the primary liaison between the Networking Group members and NAHRI administration.
(Required.)
Yes
No
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4.
Enter your contact information below to be invited to the group(s) you selected
(Required.)
Name
Company
City/Town
State/Province
Email Address
Phone Number
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5.
Are you currently a NAHRI member?
(Required.)
Yes
No
