2019 Multi-Regional Meeting Registration
Please only register one time for each person planning to attend. You will receive a registration confirmation e-mail once CMS has approved your attendance at the Multi-Regional Meeting.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
State/Organization *
Your answer
Position *
Your answer
Which Multi-Regional Meeting are you attending? *
How many years have you been with the Medicaid HITECH Program?
Your answer
What topics would you like covered at the meeting?
Your answer
What topics would you and your colleagues be willing to present on?
Your answer
Would you like to participate in the planning committee for the Multi-Regional Meetings?
If yes, which committees would you like to join?
Comments and/or questions:
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