Surgenet/OHTrac MCI Training

This training will take place January 9th 9:00AM-12:00PM at Soin Medical Center.

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1. First Name: (Required.)

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2. Last Name: (Required.)

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3. Your agency/organization: (Required.)

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4. Your Position: (Required.)

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5. Your phone: (Required.)

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6. Your E-mail address: (Required.)

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7. Please CAREFULLY confirm your e-mail address from above. This is how we will send directions to the meeting, as well as any changes. (Required.)