PCPCT Registration Request

Training Details
  • Tuesday, February¬†6 - Friday, February 9, 2018
  • Portland, Oregon
Please note: Submitting this form does not guarantee space at the training. We will contact you about availability after reviewing your form. Registration is not complete until payment is received in full.  

* 1. Please enter the contact information of the organization and individual that should receive communications about this training and/or the individual responsible for registering trainees. 

This workshop is designed for practice coaches who work with primary care practices to assist with transformation efforts towards high performing Patient Centered Medical Homes.

* 2. Why are you sending staff to this training?

* 5. If you have already identified additional trainees for PCPCT, please enter their names and email addresses here. If not, you can leave this question blank.

* 6. Please enter the contact information of the organization and individual that should receive the payment invoice for this training.

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