Registration for CMS 102: Conducting Research with Medicaid Claims Data

Aug. 13-14, 2009 - University of Minnesota - Minneapolis, MN

Full Name:

Title:

Organization:

Address:

City:

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Zipcode:

Phone Number:

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Select the situation that most closely applies to you:

I currently have data.

I am currently funded for a study.

I have a proposal submitted for the use of these data.

None of the above.

Please indicate the type of organization with which you are affiliated.

Academic

Student

Non-profit

Government

For-profit

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Please print a copy of the registration form for your records before hitting "submit".

Workshop Schedule:

Thursday: 8:30 am to 4:30 pm
Friday: 8:30 am to 12:00 pm

Workshop Registration:

Class size is limited to the first 30 registrants.

Registration Fee:

This workshop if a no cost workshop thanks to a contract with CMS.

Hotel Information:

The closest hotel, less than 1 block, is the Radisson University Hotel - Minneapolis. Workshop attendees can ask for University rates. It is located at 615 Washington Avenue S.E., Minneapolis Minnesota 55414.

Once your registration application is received, we will e-mail you an acknowledgement. If you have not been contacted within 2 business days after submitting your registration, please call (612) 626-4247. Please contact ResDAC's Workshop Coordinator with any other registration status inquiries as well.

Last Modified May 13, 2009