Conference Registration: Increasing Cancer Screening in New York State

Monday, June 11th 7:30am - 3:00pm Inn on the Lake, Canandaigua, NY

ONE-DAY, ALL-INCLUSIVE CONFERENCE

Learn innovations and strategies for practice improvement in primary care to improve population health management among underserved populations

Screening test options · Engaging Leadership ·

Utilizing Electronic Health Records · Best practices

YOUR REGISTRATION INCLUDES:

Breakfast, Monday, June 11th
Luncheon, Monday, June 11th
One-night accommodation at the Inn on the Lake, Sunday June 10th (If needed - limited availability)

ATTENTION: If you require accommodation, you must indicate this on the form below in order to secure a room reservation. Rooms will be booked on a first-come, first-served basis.

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* 1. Title

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* 2. First Name

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* 3. Last Name

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* 4. Badge Name (First or Nickname)

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* 5. Academic or Professional Credentials

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* 6. Registrant Information

Professional Role or Specialty *

Organization *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code

Email Address *

Phone Number *

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* 7. Will you require accommodation for Sunday, June 10th, 2018, at the Inn on the Lake?

Yes

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* 8. Will you attend the morning breakfast?

Yes

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* 9. Will you attend the afternoon luncheon?

Yes

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* 10. Please pick your meal preference

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* 11. Do you have any accessibility needs?

Yes

If yes, please describe: