medSR/CareCloud is preparing our 2023 event calendar. Please complete this survey for each event of which you want to participate. Your submission will be reviewed by the Events Committee, and you will be contacted by Shelley Wetzel, our Event Marketing Manager.

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1. Should this event be: (Required.)

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2. Your name (Required.)

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3. Division or Line of Business (i.e. MEDITECH, Rev Cycle, etc.) (Required.)

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4. Name the Conference/Event (Required.)

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5. Conference/Event URL (Required.)

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6. Date of event

Date

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7. Where is the conference in 2023?

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8. Why would you like to go? (Required.)

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9. How would you like to participate? (you can select more than one option) (Required.)

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10. Who within our company should attend?

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11. What aspect of your business line do you want to highlight at this conference? (Required.)

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12. What are your 3 measurable goals for this event? (Required.)

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