Registration for Educating Physicians on End-of-Life Care (EPEC)

Friday, April 27, 2007
8:15am - 1:30pm
Location: The Flinn Foundation

Information
Title
Name
Address1
Address2
Telephone
Email
Residency Level
Residency Program
Hospital Affiliation
How Did You Hear About This?


Please click on the "Submit" button to complete your registration.
You should receive an immediate confirmation page.
You will also receive an email confirmation of your registration within 24 hours.

Note that you must be using Internet Explorer and have an email program installed on the computer you are attempting to register from.

If you encounter any problems or have questions, please contact Brian Johnson at: 602-827-2036 or bej@u.arizona.edu.

 

Thank You.