2012 Zynx Health Conference

The Breakers • May 15-17 • on the sunny shores of Palm Beach, Florida #2012ZHC

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Attendee Registration

Coming with a group? Register four or more attendees and take advantage of our Complimentary Registration promotion.

Early Registration
11/1/2011 – 2/27/2012
$250

Standard Registration
2/28/2012 – 4/15/2012
$450

Late Registration
4/16/2012 – 5/6/2012
$650

Attendee Profile

Prefix

First Name *

M.I.

Last Name *

Credentials

Phone Number *

Ext.

Email Address *

Confirm Email Address *

Preferred method of communication * Email
Phone
Email, and CC:

Dietary Restrictions

How did you hear about this year's Zynx Health Conference? (Check all that apply) * Sales Representative
Client Service Representative
Website
Email Notification
Printed Advertisement
Other

Have you attended a Zynx Health Conference in the past? * Yes
No

What is your relationship to Zynx Health? * I'm a current client
I'm considering Zynx Health as a CDS vendor
I'm a CPOE/EHR partner to Zynx Health
I'm a consultant
Other

Emergency Contact Information

First Name *

Last Name *

Phone Number *

Ext.

Organization Profile

Job Title *

Organization Name *

Address 1 *

Address 2

City *

Country Select country

State Select state

Zip/Postal Code *

What clinical information system/electronic health record system does your organization use? *

Which Zynx Health solution(s) does your organization use, if any? * ZynxOrder
ZynxCare
ZynxAmbulatory
ZynxEvidence
ZynxValue+
None

Which solution(s) do you personally work with, primarily? * ZynxOrder
ZynxCare
ZynxAmbulatory
ZynxEvidence
ZynxValue+
None

What is your role in regard to this (these) solution(s)? * I use the software regularly
I am active in the development/maintenance of content
I participate in content selection and review
I use the content at the point of care
I use information from Zynx Health products to make strategic decisions
N/A

In which stage of implementation is your organization? * Developing Content
Live in EHR
Focused on Updates/Maintenance
N/A

For More Information

Contact the Zynx Health Conference team at:
zynxevents@zynx.com
310.954.5675

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