Thank you for your interest in attending the Healthcare IT Summit.
Please complete the registration form below. Please note: Due to limited available seats and minimum qualifications, your registration does not guarantee event participation.
Please contact Taylor Hyams at 508-416-1164 or email@example.com with any questions regarding the event.
1. Are you an Insurance Organization or a Healthcare Provider?
2. How would you best describe your organization?
3. What level of involvement do you have in the decision making process when it comes to IT purchases?
4. Approximately, how many lives does your organization insure?
4. How many beds does your hospital currently staff?
5. What is your organizationís total annual revenue?
6. What is your organization's approximate annual IT budget?
7. How many people are employed in entire organization?
8. Please rate your organization's interest level on the following solutions and topics over the next 12-18 months.