I-QIPS Email Sign-Up Form

This form should be completed by those who wish to sign-up to receive emails from the Institute for Continuing Professional Development in Quality Improvement and Patient Safety (I-QIPS) at Baylor College of Medicine (BCM) regarding I-QIPS news and announcements, including upcoming QI training courses and faculty development opportunities.

You may update your email address or unsubscribe at any time. For questions, please contact: I-QIPS Team

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2.First Name(Required.)
3.Last Name(Required.)
4.Email Address(Required.)
5.Professional Category (select all that apply)(Required.)
6.Your Primary Institution(Required.)
7.Your Department (at primary institution)(Required.)
8.Reason for Email Subscription (select all that apply)(Required.)
EMAIL CONSENT
By submitting this form, I am acknowledging BOTH of the following:

1. I confirm my consent to receive emails from the Institute for Continuing Professional Development in Quality Improvement and Patient Safety (I-QIPS) at Baylor College of Medicine (BCM) regarding general I-QIPS news and updates, including announcements about other QI/PS-related activities offered by BCM and affiliated institutions.

2. I confirm that understand that I may update my email address and/or unsubscribe at any time.
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