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Please note, at this time we are working diligently to migrate to a new learning management system. Due to this, we are unable to respond to new requests from August 17 to October 31, 2023. Please still complete this intake request form if you prefer and we will reach out once we are able to.

If you need support to add a face-to-face session or have an urgent request, please email us at digital.education@unityhealth.to.

Thank you for your understanding and we look forward to assisting you with your requests after October 31, 2023.

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* 1. What is your name?

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* 2. What is your role?

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* 3. What is your department?

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* 4. What is your primary hospital site or organization?

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* 5. What is your email?

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* 6. What is your preferred contact #?

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* 7. What is the purpose of your request? (select one)

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