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Please provide your contact information so that we can enroll you as a self-paced learner in RHEcourse.
First Name
Last Name
Email
Institution
How did you hear about RHEcourse?
Word of mouth
Referred by instructor
Newsletter or email from IERH
Other email announcement
Social media
CME California
Conference or presentation
Innovating-Education.org website
Other (Please describe)
Do you plan to claim CME/CE credit for a course completed in RHEcourse?
Yes
No
Not sure
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