2016 ADVICE COLLABORATIVE IV:  MOVING FORWARD

DATE: Thursday, June 16, 2016

TIME: 8:30a.m.-5:00p.m. (check-in from 7:30a.m.-8:30 a.m.)

LOCATION: Desert Willow Conference Center, 4340 East Cotton Center Boulevard Phoenix, AZ 85040

REGISTRATION FEE: NONE

MEALS: BREAKFAST, LUNCH & SNACKS PROVIDED

An all day workshop scheduled for Thursday, June 16, 2016

This one day interactive conference is designed for a multidisciplinary audience of physicians, nurses, technicians, and administrators working in dialysis settings within the State of Arizona.

Topics will provide approaches and concepts to support dialysis service improvements as well as current changes in practice that will impact the delivery of dialysis care while maintaining optimum care for our Arizona dialysis patients.

Please be sure to invite your fellow nephrology clinical technicians (NCT) and nephrology biomedical (NBT) technologists to this Collaborative!
 

NOTE:  Arizona facilities and staff will receive priority to attend this conference.  Requests from out-of-state individuals to attend this conference will be placed on hold at this time.  We appreciate your interest.  Thank you!
PLEASE COMPLETE THE BELOW INFORMATION*:

*Name & Agency will be printed on badge using this information - please double check for accuracy

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* 1. FIRST NAME

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* 2. LAST NAME

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* 3. POSITION/TITLE

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* 4. AGENCY

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* 5. EMAIL

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* 6. WORK PHONE NUMBER

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* 7. WORK ADDRESS

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* 8. CITY

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* 9. ZIP CODE

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* 10. WHAT IS THE NAME OF YOUR FACILITY'S CLINICAL MANAGER? [If you have more than one, please list one of their names/contact info.]

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* 11. PLEASE PROVIDE CLINICAL MANAGER'S EMAIL ADDRESS:

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* 12. WHAT IS THE NAME OF YOUR FACILITY'S INFECTION CONTROL MANAGER (IF DIFFERENT THAN THE CLINICAL MANAGER)?   [If you have more than one, please list one of their names/contact info.]

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* 13. PLEASE PROVIDE INFECTION CONTROL MANAGER'S EMAIL ADDRESS:

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* 14. Do you currently serve on the HAI Advisory Committee or SubCommittee?

Thank you for registering. A registration confirmation will be sent to you soon! We look forward to seeing you!

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