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Heart Health

2013 DOE Occupational Medicine Workshop and Webinar

March 18-19, 2013

DOE Forrestal Headquarters Auditorium and Remote via Web


NOTE: With new DOE conference/travel approval requirements in place, the necessary site-specific and DOE approvals must be obtained and entered into DOE's new conference approval system database no later than January 18. See the Conference Approval System for more details.

EFFECTIVE JANUARY 18, 2013, THE OFFICIAL REGISTRATION PERIOD IS CLOSED. However, interested parties may still complete the fields below which will be submitted electronically to Dr. Michael Ardaiz and the HSS management team for consideration relative to the new limits imposed upon conferences, in general. Interested parties will be notified within 72hrs if their registration has been accepted.

REGISTRATION FORM
Fields marked with * must be completed.
*First Name:  
*Last Name:  
Position/Title:  
Company:  
Affiliation:  
Address:  
City:  
State:  
Zip:  
*Phone:  
*E-Mail:  
*Attendee Type:   Federal Employee     Contractor Employee Other
   
*United States Citizen:   Yes     No
    If no, contact Dr. Michael Ardaiz, MD MPH CPH at (202) 586-8758, michael.ardaiz@hq.doe.gov

*I will be attending
In Person Remote (via video conference or webinar) NOTE: Not sure how to use WebEx? Refer to the WebEx information at https://www.webex.com/login/join-meeting-tips
I will request documentation for CME points
Yes No
If you are attending in person, will you require special accommodations to participate?
Yes
No
Should you require assistance with registration or logistical arrangements, please contact:
Michael Ardaiz, MD MPH CPH at (202) 586-8758.


Enter the code as it is shown:




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