NAHRI Networking Group Registration Question Title * 1. I would like to join the following NAHRI Networking Groups 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 Question Title * 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. Question Title * 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. Yes No Question Title * 4. Enter your contact information below to be invited to the group(s) you selected Name Company City/Town State/Province Email Address Phone Number Question Title * 5. Are you currently a NAHRI member? Yes No Done
