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Insurance & Finance Intensive
Please complete the information below to register for the Triage Cancer Virtual Insurance & Finance Intensive on September 24, 2021.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Address
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Company/Organization
*
Your answer
Title/Role
*
Your answer
How did you hear about this intensive?
*
Your answer
Are you a (please check all that apply)
*
Oncology Social Worker
Oncology Nurse
Oncology Navigator
Advocate
Individual diagnosed with cancer (pre-treatment)
Individual diagnosed with cancer (in-treatment)
Individual diagnosed with cancer (post-treatment)
Caregiver
Other:
Required
Do you need an accommodation (e.g., special meal, wheelchair accessible, etc.)?
*
Yes
No
If you need an accommodation, please describe.
Your answer
Why are you in need of this training?
*
Patients ask me these questions
To better help my patients navigate these issues
To increase my understanding of these topics
To advocate for policy and legislative changes related to these topics
Free continuing education
Other:
Required
How do you plan to use the information from the event?
*
To better help my patients navigate these issues
To advocate for policy and legislative changes related to these topics
To help a family member or friend navigate these issues
To help myself navigate these issues
Other:
Required
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