HIE Training Application to Register
Please complete the information below to apply to register for our upcoming Health Information Exchange (HIE) Training. All fields are required. If you are not contracted with Trillium, you will not be registered for this training. If you are contracted with Trillium, you will be sent the webinar information in a separate email once your network status is confirmed (allow up to 2 business days for this response).
Enter your work email address.
Trillium Contracted Entity
Which organization do you work for that is contracted with Trillium? Make sure you enter the name of the organization as it is in the contract with Trillium. If you are a LIP, enter the name that is contracted with Trillium. If you are not contracted with Trillium, you will not be registered for this training.
Contracted Entity Address
Enter a business address for your organization as it appears in your contract with Trillium.
Has your organization signed a Participation Agreement with NC HealthConnex or the Health Information Exchange Authority (HIEA)?
If you do not know the answer to this question, find out from someone who does know in your organization before you answer.
Send me a copy of my responses
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