Flex Program Workshop Participation Request

October 17 - 19, 2017
Pier B Resort Hotel
Duluth, MN

Please complete the form below to request to attend the Flex Program Workshop. More details about the workshop are available on the workshop's event page.

Space is limited. An automated email will confirm your request was received. You will receive separate follow-up communication regarding your request to participate in the FORHP Flex Program Workshop. For more information, please contact:

Bridget Hart
bhart@ruralcenter.org
(218) 216-7039

Personal Information
Please include your extension.
Please indicate any special needs such as allergies, preferences, food or otherwise.
This information will be used during an icebreaker activity at the workshop. Please limit your response to 80 characters (including spaces).

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,100,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.