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2025 STFM Conference on Practice & Quality Improvement Certificate of Attendance
Upon completion of this form a certificate of attendance will be emailed to you.
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Email
*
Your email
First Name
*
As you want it to appear on your certificate.
Your answer
Last Name
*
As you want it to appear on your certificate.
Your answer
Credentials (separate with ; i.e. PhD; LMFT..)
*
As you want it to appear on your certificate.
Your answer
Total
Number
of Hours Attended (Max. 16.0 Hours)
*
Your answer
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