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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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Do you work in a:
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Physician Office Lab
Independent Reference Lab
National Lab
Acute Care Hospital
Other
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If you answered ‘other’ in the question above, please elaborate:
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Please fill in the specialty or specialties your facility services:
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What is the biggest challenge in your facility?
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If you have a Fisher account number, please list it here:
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If you work in a hospital, does your hospital own physician offices and/ or urgent care clinics?
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When working in an independent patient care facility, how many patients on average do you care for in a day?
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By registering for this webinar, the information you provide will be shared with the webinar’s sponsors to provide you with information on products and services that may be of interest to 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
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