HSCRC's SOGI Asynchronous Training Registration

*1.First Name(Required.)

*2.Last name(Required.)

*3.Email(Required.)

*4.Hospital ID(Required.)

*5.What is your role?(Required.)

Clinician- Physician (MD/DO)

Clinician- APP (PA, NP, CRNA)

Clinician- Nurse (RN/LPN)

Clinical Staff- (MA/MT)

Clinical Staff- Social Worker

Registration/Patient Access

Billing/ Patient Financial/ Reimbursement

Clinical Documentation/ Health Information Management

Administrative Staff

Leadership

Other (please specify)

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