HITECH/HIPAA Quiz

1. Demographic Information

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* 1. Last Name

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* 2. First Name

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* 3. Email Address:

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* 4. Please select the hospital where you are doing your rotation:

Front Range Medical Group

Good Samaritan Medical Center (GMSC)

Lutheran Medical Center (LMC)

Platte Valley Medical Center (PVMC)

Saint Joseph Hospital (SJH)

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* 5. What school are you attending?

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* 6. What type of rotation are you doing?

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* 7. Rotation Start Date

Date / Time

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