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2012 ExamWRITER Educational Event Registration Form

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Practice Contact Information

Salutation*
First Name*

Last Name*

E-mail*
Practice Name*
Address*
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City
State
Zip
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Telephone Number*
Fax Number
Total # of Attendees from Practice*

Attendee Registration Information

Event Location*
Orlando, FL (February 9 - 11)
Phoenix, AZ (April 12 - 14)
Houston, TX (May 17 - 19)
Pittsburgh, PA (June 7 - 9)
Boston, MA (July 12 - 14)
San Francisco, CA (August TBD)
Course Registration*

ExamWRITER Training - 2 Days (Friday & Saturday)

The ideal attendee of this course is a light- to more-experienced user; we’ll focus on meaningful use, pre-test, exams, documenting in ExamWRITER, and coding best practices. Instructors will help guide and develop a plan of action for you to successfully implement an EMR.

# of Attendees Names of Attendees

ExamWRITER Training - 3 Days (Thursday, Friday, & Saturday)

The ideal attendee of this course is a doctor new to ExamWRITER; on Thursday, we’ll cover the nuts and bolts of the software, including setting up preferences and templates. Friday and Saturday are targeted to the light- to more-experienced user; we’ll focus on meaningful use, pre-test, exams, documenting in ExamWRITER, and coding best practices. Instructors will help guide and develop a plan of action for you to successfully implement an EMR.

# of Attendees Names of Attendees

OfficeMate Training - 2 Days (Friday & Saturday) - Orlando, FL (sold out!); Houston, TX; and Pittsburgh, PA, ONLY!

The ideal attendee of this course is an office staff member; you'll learn how to run your offices like a pro using OfficeMate v10.5.

# of Attendees Names of Attendees

Payment Information

Registration Fees
$598/Person/3-Day Course or $498/Person/2-Day Course
Method of Payment*

Check Payments

If you are paying by check, make the check payable to OfficeMate Software Solutions and write "EW Edu Event 2012" and your office phone number in the memo field. Send your payment to:

OfficeMate Software Solutions
File 50526
Los Angeles, CA 90074-0526

Credit Card or Debit Card

If you are paying by credit card or debit card, call us at 1.800.269.3666, ext. 8264.

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For additional Educational Event information, check out our Education Event web page at http://www.officemate.net/ossu_extension.aspx or call us at 1.800.269.3666, ext. 8264.

©2012 Eyefinity, Inc. and OfficeMate Software Solutions, Inc. All rights reserved.