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* 1. Please provide below contact information

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* 2. Please provide the specialty/department/division

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* 3. Do you currently have any international professional engagements, affiliations, collaborations, etc.?

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* 4. Would you be willing to participate in Cedars-Sinai International projects and engagements?

(Engagements include, but not limited to: training international doctors at Cedars-Sinai, visiting centers abroad, lectures at global conferences, consultation on program development, medical and academic collaboration with international institutions)

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* 5. Would you be willing to be part of the Cedars-Sinai International Telehealth initiative?

(Will be strictly Doctor-to-Doctor communication via telehealth with contracted healthcare institutions internationally. Includes asynchronous eConsults and synchronous Video Consults.)

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* 6. Are you licensed to practice medicine in any country outside U.S.?

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* 7. Do you proficiently speak any languages other than English?

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