TFF Radiology Grand Rounds Registration

Thank you for your interest in our education. Please provide us with the following information so we can schedule your grand rounds.

1. Which education are you interested in hosting?

The Critical Role of the Radiologist in the Diagnosis and Surveillance of Patients with Bronchiectasis

2. Name of your hospital or institution *This question is required.

3. City *This question is required.

4. State *This question is required.

5. Host Contact Name *This question is required.

6. Host Contact Email *This question is required. This question requires a valid email address.

7. Host Contact Phone Number *This question is required.

8. Please confirm that your audience members are some or all of the following: pulmonology physicians, rheumatology physicians, hospitalists, advance practice providers (NPs, PAs), nurses, and/or primary care providers. *This question is required.

9. Number of Expected Attendees *This question is required.

10. Potential Dates *This question is required.

11. Potential Time

12. Would you like The France Foundation to provide CME credit? *This question is required.

13. Would you like The France Foundation to host on our platform? *This question is required.