Event Registration Form

Event Registration Form

NextGen Upgrade Training
Practice Name:*
Example: Desert Oasis Healthcare
Department
Example: Primary Care, SOEC, etc.
Name*

First NameLast Name
Contact Phone Number*

Area CodePhone Number
Choose Event*
Email Address*
example@example.com
Registration Information

Select desired DATE and TIME for event (Scroll down for more options)
IMPORTANT NOTE: Please be sure to click on the desired date to view the available training timeframes (Example: click on November 15th, Select 8:30 am).

If using a mobile device: Click on the calendar button to view all available dates, then follow the steps above.

Only select one date and timeframe for your request.
In-Person Staff Training
Online Staff Training
In-Person Staff Training
Online Staff Training
In-Person Staff Training
In-Person Staff Training
Online Staff Training
In-Person Staff Training
In-Person Staff Training
Online Staff Training
Online Provider Training
Should be Empty:

Registration Information