Hospitals Web-assisted Audio Conference Series

Print and Fax to HSR, Inc. at: 202-728-9469, Attn. Maureen Ball

America's Hospitals: In Danger or Bouncing Back?
How Market Dynamics, Overcrowding, and Uncompensated Care
Are Changing Our Hospitals

A Series of Three, Free Web-assisted audio conferences
for State and Local Health Policymakers

Registration must be completed at least three days prior to the specific
Web-assisted audio conference(s) you wish to participate in.

Printable Registration Form

Required fields are indicated with asterisks (*). Please check to make sure that your e-mail address is entered correctly. When complete, please fax to (202) 728-9469, Attn: Maureen Ball; or call Health Systems Research at (202) 828-5100.

* Please indicate which Web-assisted audio conference(s) you are registering for below by placing an "X" in the appropriate box to the right (participation in these events is free):

Event #1: The Big Picture: Hospitals in a Volatile Healthcare Environment Tuesday, November 19, 2002, 2:00-3:30 p.m., Eastern Standard Time
Event #2: Emergency Department Overcrowding and Ambulance Diversion Wednesday, November 20, 2002, 2:00-3:30 p.m., Eastern Standard Time
Event #3: Hospital Uncompensated Care Issues Thursday, November 21, 2002, 2:00-3:30 p.m., Eastern Standard Time

Your Contact Information:

First Name*

Middle Initial

Last Name*

Academic Degrees *

Job Title*

Department

Division

Organization*

Address*

City*

State*

Country

Zip Code*

Telephone*

Fax*

E-Mail*

Will you be accessing the Web assisted audio conference(s) via the Web, phone, or both?

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