Compliance Survival: COBRA, HIPAA and Privacy On-Site Training

Please complete the form for more information and/or a quote for this on-site class.

Name:

Email

Phone:

City and State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Washington, DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin WyomingPuerto Rico AlbertaBritish Columbia ManitobaNew Brunswick NewfoundlandNova Scotia OntarioPrince Edward Island Quebec Saskatchewan Yukon Territory

Company:

Number of students:
(at least 10 for consideration)

When do you want to hold the
seminar?

How long would you like for the
seminar?
A half day One day Two days More than two days

Additional comments to trainer: