Medical Mutual
700 Spring Forest Road
Suite 400
Raleigh, NC 27609

tel 919-872-7117
tel 800-662-7917

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2010 Risk Management Workshops

Physician Only Presentations 7:00am - 8:00am
Patient Satisfaction and Informed Consent
Presented by: Lisa Banker, MD, FACP

Practice Administrator Workshops
Patient Satisfaction 9:00am-11:00am
Informed Consent 1:30pm-3:30pm
Presented by: Risk Management Staff

Registrant Name*

Title*

Professional Designation*

Practice Name*

Policy Number

Telephone Number*

Email Address*

Session Location*

Physician Only Presentation

Practice Administrator Workshops ONLY: Please select one of the two workshops that you plan to attend and indicate your practice's current level.

Patient Satisfaction Workshop

Informed Consent Workshop

*Denotes mandatory fields.