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Which event would you like to attend?
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London - Location and Date to be confirmed
Leeds - Location and Date to be confirmed
TELL US ABOUT YOU
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First Name:
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Last Name:
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E-mail Address:
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Phone:
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Which of the following BEST describes where you work?
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Acute Hospital
Primary Care Trust
Health Board
Social Care
Private Healthcare Provider
Healthcare Insurer
General Practice
Home Health Care
Healthcare Consulting Services
Healthcare Vendor
Other
If Other, please specify:
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Which of the following BEST describes what you do?
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Assistant Commissioner of Telehealth/Assistive Technology
Commissioner of Telehealth/Assistive Technology
Coordinator Telehealth/telemedicine
Director of Business Planning/Commissioning
Director of Commissioning/Performance Management
Director of Community Services
Director of ICT
Director of Nursing
Director of Research and Development
Director of Service Modernisation
Director of Social Care
Director of Strategic Development/Innovation or Planning
Director of Strategy and Commissioning
Director/Deputy Dir. of Acute Services/Service Improvement
Director/Manager of Intermediate Care Team
Director/Provider of Elderly Care Services
Executive Director of Service Development/Commissioning
Health System Assistive Technology
Health System Clinical Architect
Health System Clinical Director
Health System Medical Director
Health System Program Manager
IT Business Consultant
Joint Director of Commissioning
Lead Research Nurse
Manager of Research and Development
Marketing and Sales
Other
Physician or Nurse
Professor/Educator
Programmer/Developer
Research Fellow
Senior Clinical Manager
Student
Telehealth Project Manager
Telemedicine Coordinator
Student
Teacher
SENCO
Local Authority Rep
Parent of Student
ICT Coordinator
Other - please specify
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If Other, please specify:
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Company:
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Address:
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City:
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Postal Code:
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Country:
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What stage of telehealth deployment are you in?
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Investigation
Strategy Development
Pilot / Proof of Concept
Early Stage Deployment
Full-Scale Deployment
Does not apply
Other
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