Saturday Check IN
Welcome to Saturday! In order to receive credits for attending the conference, please complete the brief survey below. Both days' surveys MUST be completed on the day of attendance to receive credit. Please note that staff/volunteers are unable to edit the time/date stamp of your survey.
Sign in to Google to save your progress. Learn more
LAST NAME *
First Name *
License State and Number (if applying for CE or CME, otherwise please type "N/A") *
By checking the box below, I certify that I am checking in for today's sessions. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of North Carolina Integrative Medical Society.

Does this form look suspicious? Report

Google Forms