EPS Registration March 24, 2022 EPS Registration Form Please complete the below registration form to attend the Emergency Preparedness Symposia. Name*Please list your name, exactly as you would like it to appear on meeting documents. First Last Credential(MD, RN, etc...) Job Title* Email* Enter Email Confirm Email Phone*Hospital / Organization:* Are you an EPC or ALT EPC?* EPC ALT EPC Other If you are not an EPC / ALT EPC, please define your role: Comments:
