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* 1. What is your first and last name?

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* 2. What is your email address?

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* 3. What category best describes your current role?

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* 4. Below, list your practice site.

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* 5. Please select the first Resident Seminar presentation which you will attend virtually from 12:15 pm to 1:00 pm on Wednesday, October 28, 2020.

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* 6. Please select the second Resident Seminar presentation which you will attend virtually from 1:05 pm to 1:50 pm on Wednesday, October 28, 2020.

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