Brief survey

Please submit information about potential items to be discussed at an upcoming MCAAP Pediatric Council Meeting.


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* 1. Are you a member of the MA Chapter of the American Academy of Pediatrics (MCAAP)?

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* 2. What is your name and affiliation if any?

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* 3. What is your e-mail?

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* 4. What is your Organization Type?

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* 5. What is your geographic location?

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* 6. What is your speciality?

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* 7. Is this a payer-related issue?

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* 8. Payer Type

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* 9. Describe Issue in Detail

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* 10. Do you have any background information? If so, upload or cut-and-paste it here and/or provide a link.

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