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* 1. Name of your practice

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* 2. Address of Practice (City, State)

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* 3. Number of MD/DOs in Practice

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* 4. Name of your current Electronic Medical Record (or NA if none)

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* 5. Technical Contact Person at your practice (Name and Email)

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* 6. Name of Person Completing this Survey and Email.

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* 7. Is your practice doing rapid COVID testing?

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