Registration Form - EHMA Executive Workshop
Dear Participant,

Thank you for your interest in the EHMA Executive Workshop on "Re-configuring and leading the value-based hospital".

We kindly ask you to fill in this registration form. Should you have any questions, please do not hesitate to contact Adrianna Trojak from the EHMA Secretariat at adrianna.trojak@ehma.org or +32 (0)2 502 6525.

Thank you for your kind cooperation,

The EHMA Secretariat

Sign in to Google to save your progress. Learn more
Email *
Title
Clear selection
First Name *
Last Name *
Mobile phone number *
Position *
Organisation *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy