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Seton Health Plan Annual Provider Inservice Registration Form

Seton Health Plan Participating Providers - Office Managers/Pertinent Staff

We would like to share an informal time over lunch to discuss CHANGES for the upcoming 2011 plan year. The meeting will include a presentation of new material and a chance to ask questions. Please plan to join us for one of the sessions below. Please note that due to room capacity, there could be a change in your selection.

Fields outlined in orange are required.

Date

Location

Time
Seton Medical Center McFadden (Back ½) Noon - 1:30PM
Dell Children's Medical Center UTMB DCMC Board Room Noon - 1:30PM
Seton Medical Center-Hays 1 Education Center Noon - 1:30PM
Seton Highland Lakes- Business office-Annex Noon - 1:30PM
Seton Southwest Classroom Noon - 1:30PM
Seton Medical Center-Williamson LC #2 first floor Noon - 1:30PM
Dell Children's Medical Center Auditorium (Back ½) Noon - 1:30PM

RSVPs are limited to 2 office staff/providers per session. Each person attending must complete the registration. A box lunch will be provided, please provide us with the following information and indicate if a vegetarian lunch is preferred:

Your Information
First Name:
Last Name:
Title:
Email Address:
  Please make my lunch vegetarian
Provider Information
Provider Name/Department:
Phone:
Fax:
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