Data | Oklahoma Health Information Specialists

Name*
First Last
Title / Organization*
Email*
Phone*
Which OKHIS class are you interested in?*
- Cancer Information Inside and Out
- Drug Information Resources for Consumers
- A class on a specific topic
Topic:*
Who will be the audience?*
Who will be the audience?*
Please select the date you would like to schedule*
Date Format: MM slash DD slash YYYY

Format date as: (mm/dd/yyyy)
Please select the time you would like to schedule*

: HH

MM
Where will the class be held?*
How many attendees do you anticipate?*
Do you have a hands-on computer space in which to host the class?*
- Yes, we have computers for the class
- No, please bring computers for students
How many computers (8 max) would you like us to provide?*
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