PULSE 2008 ANNUAL USER'S GROUP CONFERENCE REGISTRATION
To register for the conference, please fill out the following form.
Complete a registration form for each person attending.
*
Denotes Mandatory Field
First Name:
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Last Name:
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Job Title:
Name of Organization:
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Address:
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City:
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State:
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Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
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Email Address:
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Phone:
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Fax:
Specialty:
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Select a Specialty
Acute Care Hospital
Allergist
Anesthesiology
Audiology
Bariatric
Behavioral Health
Cardiology
Chiropractic
Community Health
Consultant
Dentist
Dentistry
Dermatology
Ear/Nose/Throat
Electrophysiology
Emergency Medicine
Endocrinology
ENT (Ear/Nose/Throat)
Family Planning
Family Practice
Fetal Medicine
Gastroenterology
General Practice
General Surgery
Geriatrics
Government Affiliate
GPO
Hair Clinic
Healthcare Consulting
Hematology
Home Healthcare
Hospital
Immunology
Immunology
Internal Medicine
IPA
IPO
Job Applicant
Lab
Managed Care Co
Medical Billing (Home Office)
Medical Billing Company
Medical Research
Mental Health
MSO
Multi-Specialty
NAF
Neonatalology
Nephrology
Nuclear Medicine
Nursing
Nursing Home
OB/GYN
Occupational Health
Oncology
Online Pharmacy
Ophthalmology
Orthopedics
Orthopedics/Podiatrists
Osteopathic Medicine
Otolaryngology
Out Patient Services
Pain Management
Parinatal
Pathology
Pediatrics
Pharmacy
Physical Therapy
Psychiatry
Psychology
Public Health
Pulmonary
Radiology
Rehab Facility
Residency Program
Rheumatology
Sleep Medicine
State Program
Student
Student Health Center
Surgical/Surgi-Centers
Transplant Center
Travel Medicine
Urgent Care
Urology
Veterinarian
Walk–in Clinic
Other
Number of Current Physician Providers:
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Number of Current Mid-level Providers (PA, CRNA, etc.):
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Are you a first time attendee to a Pulse User’s Group Conference?
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Yes
No
Are you a Customer, Consultant, or Vendor?
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Customer
Consultant
Vendor
Please select your Shirt Size:
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Small
Medium
Large
XLarge
2XLarge
3XLarge
How did you find out about this conference?
Comments or Special Considerations:
Please select up to 8 classes you are interested in attending.
(Place mouse over title for description)
Note: Checking these classes does not reserve a seat nor obligate you to each class. This is only to gauge potential attendance so we can plan accordingly. Classes are subject to change.
Internet Transaction Services and Claims Mgt
Advanced Scheduling and Templates
ERA and Payment Review
Acct Mgmt - Workflow and Use Case
Best Practices with Credits and Payment Workbench
ROI / Admin level
Reports
Pulse PRMS 4.0
Clinical Reporter
Clinical Dashboard and Appointment List w/Health Maint.
Patient Dashboard w/Health Maint.
POC - Workflow
POC Forms Building and E/M Coding
Rx Hub
Working Towards a Paperless Environment
Security Manager the Next Level
Orders and Interfaces
Copyright 2004-2008, Pulse Systems Inc.