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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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Business/Facility 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 work in a hospital, what is your hospital's bed count?
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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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If you have a Fisher account number, please list it here:
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By registering for this webinar, Whitehat uses your information to communicate with you regarding this webinar and other educational events.
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Yes, I consent to give my information to receive communication regarding this webinar
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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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Yes, I consent to receiving marketing communication from this webinar’s sponsor 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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