|
Please type responses here: |
First name:
|
|
Last name:
|
|
Email Address:
|
|
Retype Email Address:
|
|
Work Phone:
|
|
Company Name:
|
|
Job Title:
|
|
Business/Facility Address:
|
|
Business Facility Address 2:
|
|
City:
|
|
State/Province:
|
|
Country:
|
|
Zip/Postal Code:
|
|
What is your primary role in healthcare delivery?
|
Physician/Doctor
Nurse/Practitioner
Laboratory Technician/Technologist
Point-of-care Coordinator
Other
|
If you chose 'other' in the question above, please specify:
|
|
How familiar are you with the use of point-of-care testing (POCT) by pediatric critical care transport teams?
|
Very familiar
Somewhat familiar
Not very familiar
|
Does your healthcare facility currently have a POCT program?
|
Yes
No
|
By registering for this webinar, Whitehat uses your information to communicate with you regarding this webinar and other educational events. Please read our Privacy Policy (https://www.whitehatcom.com/privacy_policy.htm), which will be pertinent if you are based outside the United States.
|
Yes, I give my permission to receive communications from Whitehat, and I understand I may opt out at any time
|
I would like to be contacted by Siemens Healthineers to receive information, insights, and invitations on relevant healthcare topics and events. In so doing, I consent to the processing of my personal data provided above, as laid out in the Data Privacy Notice (https://www.siemens-healthineers.com/marketing-privacy-notice). I am aware that I can revoke this consent in part or in full at any time by sending an e-mail to: dataprivacy.communications@siemens-healthineers.com
|
Yes, please
No, thank you
|
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. |
|