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If you have an e-mail address ending with *@portlandgastro.com, *@universitygi.com, *@digestivehlth.com, *@gastrohealth.com, *@modernizingmedicine.com, *@giconsultants.com, *@allieddigestivehealth.com, *@metrogi.com or *@northeastdigestive.com, use it here to join straight away without waiting for approval from a group manager.

• Full Name (First Last Title; e.g. John Doe MD) ^*

  Only other members can see. Please add title, such as MD, ARNP, PA etc.
• Practice Name ^*

  (Only other members can see.)
• What is the web address for your practice? ^*

  (Only other members can see. You are unlikely to be approved unless this is completed!)
• Position ^*

  (Only other members can see)

  Doctor PA NP Nurse Manager/Admin IT Other

  Please specify: ^*
• Type of User ^*

  (Only other members can see)

  SuperUser Champion User (regular/non-SuperUser) Other

  Please specify: ^*
• City (where your company is located; not your home) ^*

  (Only other members can see)
• State ^*

  (Only other members can see)

  - please select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marians IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming
• # of Clinicians in Practice ^*

  (Only other members can see)
• When did most of your practice convert/go-live with the EMR? ^*

  i.e.; roughly when did most of your practice go-live? Detail office endo/etc.
• What products or software do your clinicians/staff use, be it in the Office, Endo Ctr, Hospital, elsewhere? ^*

  (Only other members can see)
• Anything else you want to share with the members of this group?

  (This will be visible to other members)