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Please type responses here: |
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First name:
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Last name:
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Email Address:
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Retype Email Address:
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Phone number:
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Institution:
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Title:
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Address:
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City:
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State:
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Country:
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Zip/Postal Code:
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At what type of laboratory are you currently employed?
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Hospital
Reference
Academic
Physician Office
Other
I do not work in a laboratory
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If you chose 'Other' above, please describe the type of laboratory at which are you currently employed:
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My credentials (i.e., MD, RN, PHD, etc.): Please fill in the blank:
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I practice/work in: (select all that apply)
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Laboratory
Emergency
Hospital
Urgent Care
Primary Care
Pharmacy
Specialized clinic
Long-term Care/Nursing home
Other clinical setting
Medical Distributor/Manufacturer/Supplier (If selected, please skip to the following question)
Non-clinical setting
Other
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I specialize in: (select all that apply)
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Pediatrics
Family Medicine/Internal Medicine
Emergency Medicine
Urgent Care
Student/Resident
Administration
Pharmacy
Clinical Acute Laboratory
Clinical Non-acute Laboratory
Operations/Practice Management
Other Business Professionals
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Has your facility read the 2024 CAP checklists prior to registering for this webinar?
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Yes
No
I don't know
N/A
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Do you and your staff feel confident implementing changes in your laboratory each year to reflect the changes made to the CAP checklists?
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Yes
No
I don't know
N/A
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By registering for this webinar, Whitehat uses your information to communicate with you regarding this webinar and other educational events. For a link to our privacy policy, which may be pertinent if you are based outside the United States, we encourage you to visit: https://www.whitehatcom.com/privacy_policy.htm
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Yes, I give my permission to receive communications from Whitehat, and I understand I may opt out at any time
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By registering for this webinar, the information you provide will be shared with the webinar’s sponsor to provide you with information on products and services that may be of interest to you:
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Yes, I consent to receiving marketing communication from this webinar’s sponsors following the webinar
No, thank you
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After clicking 'submit',
you will be redirected to the webinar recording.
You will also
receive an email with the link to the evaluation to fill out
after you finish the recording. |
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