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To begin your free subscription, please enter your information below.
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* Required Fields
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* Subscription Type
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* First Name
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* Last Name
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* Title
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* Company
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* Address
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* City
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* State
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* Zip
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* Country
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* Phone Number
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* Email Address
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* Confirm Email Address
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* A. Which one of the following best describes your job title?
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Executive: CEO, COO, Owner, President, Vice-President, or Regional Director
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Administrative: Administrator, Director, Manager, or Assistant or Associate Administrator
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Financial: CFO, CPO, Comptroller, Business Mgr, Purchasing Mgr, or other financial title
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Other Executive, Administrative, or Financial title such as, but not limited to, Marketing, Admissions, or Facility Manager or Director
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RNAC/MDS Coordinator
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Resident Care: DON, DNS, RN, ADON, VP Nursing, Director of In-Service Education, Nursing Supervisor, Dietitian, Case Manager, or Therapist
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Other caregiving title such as, but not limited to, Activities, Social Services, or Staff Development Manager or Director
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Medical: Medical Director, Physician, or other medical title
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Consultant Pharmacist
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Architect or Designer
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Consultant
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Other, professional allied to the field, please specify: |
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* B. Your business can best be described as:
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Health Systems Headquarters
Nursing Facility (SNF/ICF/MR/Long-Term Care)
Campus/Continuing Care Retirement Community (CCRC)
Hospital with Long-Term Care Unit
Rehabilitation/Post-Acute Facility
Assisted Living Facility or Alzheimer's Care Facility
Senior Housing (Independent Living, Residential Care)
Group Purchasing Organization or Management Firm
Other, please specify:
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* C. How many beds are managed by your facility?
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500 or more
200-499
100-199
75-99
50-74
25-49
Fewer than 25
not classified by number of beds
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* D. Which of the following services are provided by your facility? (check all that apply)
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Assisted Living
Skilled Nursing/Intermediate Care/MR
Hospital with Long-Term Care Unit
Rehabilitation/Post-Acute
Alzheimer's/Special Care
Senior/Retirement Housing
Adult Day Care
Home Healthcare
Other, please specifiy:
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* E. Your facility is:
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For-Profit
Not-for-Profit
Government
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* F. Please describe your business:
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Chain Headquarters
Chain Facility
Independent Facility
None of the Above
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* G. If you are part of a chain, how many facilities are there in your business?
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100+
51-99
26-50
11-25
1-10
Does not apply
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* H. Personal Identifier Question - What state were you born in?
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