Wisconsin Rural Stroke Conference
Hosted by
the American Heart Association and Wisconsin Office of Rural Health
Thursday, April 20, 2017 - 8:00 AM-3:30PM
*Time subject to change pending agenda
(Breakfast & Registration 7:30-8:00 AM)
Kalahari Resort & Convention Center
1305 Kalahari Drive
Wisconsin Dells, WI 

*Breakfast and lunch are included. No cost to attend but advanced registration is required.

Abstracting Stroke Data That Will Work For You
Hosted by
the American Heart Association and Wisconsin Coverdell Stroke Program
Friday, April 21, 2017 Half Day Morning
*Time subject to change pending agenda
Kalahari Resort & Convention Center
1305 Kalahari Drive
Wisconsin Dells, WI

Abstracting Stroke Data That Will Work For You:
- In person attendance is preferred due to unforeseen potential technical difficulties. 
- Plan to sign on 15 minutes early to secure appropriate online/link access
- This is a hands on learning experience; please bring your laptops.
- Print or have the on-line version of  the Get With the Guidelines ® - Stroke PMT® Coding Instructions.
https://osstatic.outcome.com/online_doc_qi/StrokePMT/coding_instruction/stroke_help.htm
- Course pre-work: View the 15 minute tutorial  found on the GWTGs homepage under Trainings called Downloading: Learn how to quickly access your data in a spreadsheet format. 

This conference will be recorded (no consent required).

*Light breakfast will be provided. No cost to attend but advanced registration is required.

* 1. Contact Information:

* 2. Title:

* 3. Please indicate what day you will be attending:

* 4. For the conference on Abstracting Stroke Data That Will Work For You (Friday, April 21, 2017) self-identify your level of expertise in abstracting:

* 5. For the conference on Abstracting Stroke Data That Will Work For You (Friday, April 21, 2017) please indicate if you are attending in-person or remote livestream/skype:

* 6. Professional Designation (Nurse, EMT, Physician, etc..)

* 7. Degrees and/or Certifications

* 8. Primary area of job (Neurology, Family Practice, Emergency Medicine, etc..)

* 9. Emergency Contact Name

* 10. Emergency Contact Relationship

* 11. Emergency Contact Phone Number

* 12. Disability Needs: If yes, please explain:

* 13. Do you have any dietary restrictions? (Vegetarian) Food allergies? Please explain:

* 14. How did you hear about this event?

Thank you for registering for the Wisconsin Rural Stroke Conference/Abstracting Stroke Data That Will Work For You! Confirmation will be sent out via email. Please contact Margarita at margarita.avila@heart.org or 414-227-1423 for more information or if you have any questions. Thank you.

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