Site Registration: April 25th Grand Rounds
Rural PREP's Grand Rounds events provide an online space for interactions among rural primary care health professions education and training programs. To participate in a Grand Rounds event, your site must have at least 3 individuals participating together as a team.

Title: Live Where You Work
Presenter: Kate Abraham, MD, MPH, Cahaba Family Medicine-Urban, Birmingham, Alabama

Date: April 25th, 2019

Time: 12:00 CT (10:00 PT, 11:00 MT, 1:00 ET)

New or Returning Site? *
If your site has never participated in a Grand Rounds event before, please let us know. We would like to schedule a brief phone call with you to go over our event's unique format.
Your Name *
Please provide the name of the person filling out this form. Please note: only one person from your site needs to register with us.
Your answer
Site Contact (First Name, Last Name) *
The person listed here will receive all event preparation communications, including emails about the pre-work and Zoom registration links.
Your answer
Site Contact Email Address *
All event preparation communications will be sent to this address.
Your answer
Name of Your Health Program or Institution *
Your answer
Participation Agreement *
Our site agrees to recruit a minimum of 3-5 participants for the event.
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