STEP 1: HIPAA Authorization for the Disclosure of Health Information
By signing this Authorization, I acknowledge that I have read and understand this Authorization. Further, I authorize the disclosure of the information set forth herein in accordance with the terms of this Authorization.
Each attendee must create their own registration to receive an email stating the submission has been verified.
By signing below, I hereby acknowledge and agree that I have read the Agreement and agree to all terms and conditions contained therein.