Register Name* First Last Email* Job Role*Organization Zip*Care Setting*HospitalNursing HomeHome Health AgencyPhysician OfficePharmacyEducational InstitutionGovernmentOther Healthcare ProviderOther Non-Healthcare ProviderQuality Improvement OrganizationState*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificOrganizations--NOT LISTED--My Organizations*Alice M. Kidd Nursing FacilityAndalusia Regional HospitalAthens-Limestone HospitalAtmore Community HospitalBaptist Medical Center EastBaptist Medical Center SouthBaypointe HospitalBeacon Children's HospitalChildren's of Alabama Russell Campus[1]Bibb Medical CenterBrookwood Medical CenterBryan Whitfield Memorial HospitalBryce HospitalBullock County HospitalChoose Organizations(Multi select Enabled)*Central Alabama Veterans Health Care System – East Campus, TuskegeeChildren’s of Alabama, BirminghamEast Alabama Medical Center, OpelikaEncompass Health Rehabilitation Hospital of North Alabama, HuntsvilleNorth Alabama Medical Center, FlorenceNorth Alabama Specialty Hospital, AthensNortheast Alabama Regional Medical Center, AnnistonRegional Medical Center of Central Alabama, GreenvilleTanner Medical Center / East Alabama, WedoweeThis field is hidden when viewing the formOrganization Not Listed click here if we did not find your organization Type in your organization name here*This field is hidden when viewing the formOrganization Not Listed? click here if we did not find your organization My organizations*Alice M. Kidd Nursing FacilityAndalusia Regional HospitalAthens-Limestone HospitalAtmore Community HospitalBaptist Medical Center EastBaptist Medical Center SouthBaypointe HospitalBeacon Children's HospitalChildren's of Alabama Russell Campus[1]Bibb Medical CenterBrookwood Medical CenterBryan Whitfield Memorial HospitalBryce HospitalBullock County HospitalCarraway Methodist Medical CenterCentral Alabama Veterans Health Care System East CampusCentral Alabama Veterans Health Care System West CampusCherokee Medical CenterChilton Medical CenterChoctaw General HospitalCitizens BaptistClay County HospitalCommunity HospitalCooper Green Mercy HospitalCoosa Valley Medical CenterCrenshaw Community HospitalCrestwood Medical CenterCullman Regional Medical CenterDale Medical CenterDCH Regional Medical CenterDecatur General Hospital SystemDecatur General West Behavioral Medicine CenterDeKalb Regional Medical CenterD.W. McMillan Memorial HospitalEast Alabama Medical Center Δ