2024 Medical Director Symp

Type of Attendee*

Commercial Service Medical Director

Commercial Service Official

Educational Partner

Hospital Representative

Jurisdictional Medical Director

Jurisdictional Official

Regional Medical Director

MIEMSS Staff

Other

First Name*

Last Name*

Post-Nominal Titles

MD, DO, PA, EMT, etc.

Email Address*

Phone Number*

Company / Organization*

Job Title*

MIEMSS Clinician ID Number, if applicable

Used for MIEMSS Con Ed Credit

This workshop is being supported in part by the Maryland EMSC State Partnership for Children Grant from federal EMSC Program/ MCHB/HRSA with support from the Maryland Pediatric EMS Medical Director.

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