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* 1. Choose your specialty:

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* 2. Enter your name:

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* 3. Enter your email address:

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* 4. Select your Primary Care Practice:

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* 5. Select your Specialty Care Practice:

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* 6. Please watch the Access video (54:30) of the Fall CQF: Enter the name of a specialty, practice or presenter in the text box.

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* 7. Please watch the Behavioral Health video (44:20) of the Fall CQF. Enter the name of a specialty, practice or presenter in the text box.

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* 8. Please watch the Technology video (25:20) of the Fall CQF. Enter the company name of one of the presenters in the text box.

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* 9. By submitting this survey, I attest that:

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