Medical Provider Workshops Registration Form

Regence Medical Provider Workshops
Fall workshops for our participating medical providers and their office staff are being conducted throughout Washington. We encourage you to attend and learn about:

  • Availity
  • New Website Demonstration
  • Utilization Management Programs

Please check the box [✓] next to the date of the workshop you wish to attend and indicate the name(s) of attendees.

*Asterisks indicate required fields.

 
   

Seattle          
Regence BlueShield
Lobby Conference Room  
1800 9th Avenue
Seattle, WA  98101

Capacity: 50 participants
* Wednesday - October 22, 2014
  9:00 a.m. - 11:00 a.m.
  Names of attendees
   
     
     
Office or Facility Information:  
Office name: *
   
Office address: *
   
Office Fax : *
   
Office Phone : *
   
Email: *
   
Tax Identification Number : *