This summit is being supported by the Agency for Healthcare Research and Quality (AHRQ), a part of the U.S. Department of Health and Human Services, and facilitated by RAND."

Online Registration Form

Please enter your information in the form below and click "submit registration" when done.

First Name: MI: Last Name:

Degree(s) (optional): Title (optional):

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City :

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Telephone: Fax (optional):

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If you do not have an e-mail address, please indicate "none"

Participant Category:

Health care practitioner
Hospital or other institutional provider
Consumer
Professional Association
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Are you submitting testimony?: Yes No

First & Last names as you would like them to appear on your name tag (optional):
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Registration deadline: October 17, 2003