Practice Information

Thank you for completing this survey to certify that you have completed your annual health equity training as accepted by CareFirst!

As part of our contract with CareFirst, each provider in your practice is required to complete an annual health equity training by December 1. We have provided a list of trainings and presentations that qualify, available to watch asynchronously. Each practice must provide documentation that ALL providers watched or participated in one of these sessions.

You and your practice may complete this survey more than once. Please reach out to Charlotte (charper@childrensnational.org) if you have any questions about a qualifying event.

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* 1. Practice Name:

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* 2. Your Name (submitter):

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* 3. Tax ID:

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* 4. Number of Providers in Practice:

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