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pdf2019 LAN Fall Summit Registration | HCP LAN Summit
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2019 LAN Fall Summit Registration
2019 LAN Fall Summit Registration
Name *
First
Last
Title *
Email *
UP
Enter Email
Confirm Email
LAN Participant? *
Yes
No
Would you like to join the LAN? (checking this box will automatically enroll you as a LAN
Participant)
Are you participating as a member of a CMS-funded quality network (I.e. QIO, HEN, PTN,
SAN, etc)?
https://www.lansummit.org/registration/
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2019 LAN Fall Summit Registration | HCP LAN Summit
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(https://www.lansummit.org)
Organization *
Primary Organization Type *
Academic
If Other:
City *
State *
UP
Phone
Participant List *
Yes
No
“I authorize use of my information in the participant list, which will be made available to other conference participants.”
https://www.lansummit.org/registration/
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If special accommodations are required please briefly describe below. Questions about special accommodations can
also be emailed to [email protected]
Video and Photography Notification
Opt Out of Photography
Portions of this event may be videotaped and recorded, and photographs may be taken through the conference. The
videotapes, recordings and photographs may be used in the public domain, but no individual names will be associated
with this media.
Submit
UP
HYATT REGENCY WASHINGTON ON CAPITOL HILL
+
400 New Jersey Avenue, NW
Washington,D.C. 20001
Phone: 1-202-737-1234
CONTACT US
+
[email protected] (mailto:[email protected]) Phone: (800) 277-5708 ext. 6
RELATED LINKS
+
Health Care Payment Learning & Action Network (https://hcp-lan.org/)
https://www.lansummit.org/registration/
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2019 LAN Fall Summit Registration | HCP LAN Summit
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https://www.lansummit.org/registration/
05/13/2019
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