Webinar Recording Form:

Advancing Urgent Care POC to Combat the Ongoing STI Epidemic
This webinar is sponsored by
Fisher and binx logos
  Please type responses here:
First name:
Last name:
Email Address:
Retype Email Address:
Phone number:
Company Name:
Job title:
Business/Facility Address:
Zip/Postal Code:
Do you work in a: Physician Office Lab
Independent Reference Lab
National Lab
Acute Care Hospital
If you answered ‘other’ in the question above, please elaborate:
Please fill in the specialty or specialties your facility services:
Do you currently utilize a CLIA-waived rapid POC Chlamydia trachomatis/Neisseria gonorrhoeae (CT/NG) test in your clinic? Yes
Not applicable
How many CT/NG tests do you run per month?
Do you routinely screen asymptomatic patients who meet the CDC annual CT/NG screening recommendations? Yes
Not applicable
If you do not routinely screen asymptomatic patients who meet the CDC annual CT/NG screening recommendations, why?
What is your clinic’s prevalence rate for CT and NG?
If you do not have a rapid CT/NG test in-house and use send out testing instead, what percentage of your patients are treated with antibiotic therapy presumptively, ie., before the send out CT/NG test results are returned?
By registering for this webinar, Whitehat uses your information to communicate with you regarding this webinar and other educational events. Yes, I consent to give my information to receive communication regarding this webinar
By clicking the box below, I am happy to receive marketing and promotional email and telephone call communications about products, services, promotions, and events from Thermo Fisher Scientific Inc. and its affiliates in accordance with the Thermo Fisher Scientific Privacy Notice (https://www.thermofisher.com/us/en/home/global/privacy-policy.html) Yes, I would like to receive marketing and promotional communications as indicated above
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.