subject_line
For Beacon Associates
First Name
*
Last Name
*
Email Address
*
Which events will you be attending?
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CME Discussion at Elkhart General Hospital, Patel Auditorium (12 - 1 P.M.)
Social Impacts Presentation at Elkhart General Hospital, Patel Auditorium (3 - 4 P.M.)
Community Event at Lerner Theater (5 P.M.)
Will you be watching a video feed from a Beacon location? (please select location)
Elkhart Boardroom - 25-30 People
EGH Auditorium B/Patel Family Auditorium - 50-100 People
Elkhart Art Decio SR1 - 10-15 People
EGH Surgery Conference Room - 10-20 People
EGH Prenatal Class Room (PNC) Art Decio - 25-30 People
EGH Purchasing Breakroom - 8-10 People
MHSB Skyway 1st Floor Large Conference Room - 20-25 People
MHSB Skyway IS Small Conference Room - 4-6 People
MHSB Nature Conference Room - 15-25 People
MHSB Cancer Care Conference Room - 20-30 People
MHSB Foundation Conference Room(Navarre) - 10-15 People
MHSB Auditorium (Located 1st Floor Memorial by the C Elevators) - 50-100 People
MHSB Childrens Center Peds/HEMOC 4th Floor - 10-15 People
MHSB Children Center Peds 5th Floor - 12-20 People
MHSB Childrens Center 6th Floor - 15-20 People
MHSB Purchasing Breakroom - 8-12 People
MHSB Pulmonary Class Room 1 - 12-18 People
BMG Admin Big Conference Room - 20-30 People
BMG Admin Small Conference Room - 12-16 People
BMG E. Blair Family Practice Small Conference Room - 10-15 People
BMG E. Blair Family Practice Big Conference Room - 25-50 People
BMG Children Specialty Group(Navarre) - 10-15 People
BMG Cleveland Road Medical Group(CRMG) Large Conference Room 25-30 People
BMG Cleveland Road Medical Group(CRMG) Small Conference Room - 8-12 People
BMG North Central Neurosurgery Conference Room(Navarre) -15-20 People
BMG Health and Fitness Large Conference Room - 25-30 People
BMG Health and Fitness Admin Conference Room - 12-18 People
BMG Main St. Family Practice - 10-15 People
BMG Gynecologic Oncology (Navarre) - 6-8 People
BMG Pfeil Innovation Center - 6-8 People
BMG Bristol Pediatrics Breakroom - 10-15 People Not yet installed ???
BMG Fulton St. Specialists Breakroom - 5-7 People Not yet installed ???
BMG Wakarusa Breakroom - 5-7 People
BMG Bittersweet Breakroom - 8-10 People
BMG Elkhart East Breakroom (FPA)- 15-25 People
BMG Goshen Family Practice - 8-10 People
BMG Middlebury Breakroom - 8-10 People
BMG La Porte Conference Room - 20-30 People Waiting on TV
BMG IRMG Conference Room - 20-30 People
BMG SWMG Conference Room - 10-15 People
BMG Centennial Conference Room 7- 10 People
BMG Ortho/Trauma Conference Room 3-6 People
BMG Trauma/General Surgery Conference Room - 5-10 People
BMG Interventional Radiology Conference Room - 5-7 People
BMG Behavioral Health Conference Room - 8-10 People
BMG Maternal Fetal Medicine Conference Room - 5-8 People
BMG Kidney and Hypertension Breakroom - 5-8 People
BMG Bristol Family Practice Conference Room - 10-15 People
OMS Class Room 5 - 5-10 People
OMS Class Room 2 - 5-10 People
Would you like a video link to view the presentation offsite?
Yes
No
Would you like to receive CME credit?
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Yes
No