EHR Best Practice Series™


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Follow the four simple steps below to register online. Bold fields are required.

Please keep this form as confirmation of your registration - no other confirmation will be generated or sent.

Choose Your Date & Location March 27, 2008 • Reno, NV
Saint Mary's Regional Health Center

April 8, 2008 • Merrillville, IN
The Indiana State Medical Association
Pleaes call 800-257-4762 for registration.

April 9, 2008 • Mishawaka, IN
The Indiana State Medical Association
Pleaes call 800-257-4762 for registration.

April 10, 2008 • Fishers, IN
The Indiana State Medical Association
Pleaes call 800-257-4762 for registration.

April 15, 2008 • Phoenix, AZ
Arizona State Physicians Association

April 21, 2008 • Phoenix, AZ
Arizona State Physicians Association

May 2, 2008 • Anaheim, CA
California Medical Association

May 3, 2008 • Anaheim, CA
California Medical Association

Describe Your Practice

Number of Physicians:

Timeframe to select an EHR system:

Include Your Contact Information

Name of Practice:

Address:

City:

State:

Zip:

PRIMARY CONTACT

First Name:

Last Name:

Contact Phone:

Fax:

Contact Email:

Title:

List Who Will Be Attending

Attendees:

(Please enter name, title, name, title, etc.)

Please keep this form as confirmation of your registration - no other confirmation will be generated or sent.

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