Interested in participating in the AIM-LO MPA Program?
Please complete the form below.
We will reach out with more information about registering and participating in this program.
*
1.
Full name:
(Required.)
*
2.
Email address:
(Required.)
*
3.
Profession
(Required.)
4.
Specialty
*
5.
Clinic name:
(Required.)
*
6.
Are you an an Ensho Health subscriber?
(Required.)
Yes
No
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7.
Which EMR provider do you use?
(Required.)
Accuro
Cerner
IndiviCare
Healthquest
iClinic
Telus PS Suite
Other (please specify):
