National Assoc. of Managed Care Physicians
|
American Assoc. of Integrated Healthcare Delivery Systems
|
American Assoc. of Managed Care Nurses
Application For Supscription
all fields are required
E-mail
Re-type E-mail
First Name
Last Name
Credentials
Select One From Below
MD
DO
PhD
RN
RPH
Pharm D
LPN
MBA
Other
Company Name
Job Title
Job Function
Company Type
Select One
Academic/Private Research Lab/Foundation
Association
Biotech Company
Clinical Trial/Research Organization
Disease Management Organization
Employer
Government Agency
Health Care Consulting
Health Care Provider
Hospital
IPA
Information Systems/Technology
Managed Care Organization
Media
Pharmaceuticals
PHO
Utilization Review Organization
Other
If "Other" please explain
How You Heard About eNews
Select One
Colleague or Friend
E-mail offering from Managed Care eNews
Conference
Forwarded to me
Internet
AAIHDS Website
NAMCP Website
AAMCN Website
Direct Mail
Other
