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Immunization Provider Expo

We are thrilled to announce that the Tennessee Department of Health Vaccine-Preventable Diseases and Immunization Program (VPDIP) will be hosting an Immunization Provider Expo in each of Tennessee's regions (East, Middle, West). These annual full-day gatherings are designed to bring our vaccine providers together to foster networking, enhance their knowledge, and collaboratively address challenges. Please complete the survey below to save your spot for the Expo.

All in-person slots for the Expo are filled, but registration is still open for the Nashville Virtual Expo on March 27th. Secure your virtual spot now!

First Name

* must provide value

Last Name

* must provide value

Email Address

* must provide value

Job Title

* must provide value

Phone Number

* must provide value

Organization/Clinic Name

* must provide value

Are you a Central Office, Vaccine-Preventable Diseases and Immunization Program (VPDIP) employee?

* must provide value

Yes

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Which Immunization Provider Expo(s) do you plan on attending?

* must provide value

Memphis on March 6, 2024, Holiday Inn-University, 3700 Central Avenue

Knoxville on March 20, 2024, Hilton Knoxville Airport, 2001 Alcoa Hwy

Nashville on March 27, 2024 (hybrid), Southwestern Conference Center, 2451 Atrium Way

Will you attend the Nashville event in-person or virtually?

* must provide value

In-person

Virtually

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If you are unable to select your preferred location in the question above, this means that the location is full.

If you are able to select your preferred location in the question above, please do not answer this question.

Note: You are welcome to attend the Nashville session virtually OR add yourself to a location specific waitlist below.

Memphis Waitlist

Knoxville Waitlist

Nashville Waitlist

Has your facility previously or currently enrolled in any of the following programs?

* must provide value

Pandemic Provider

Bridge Access Program

VFC Program

317 Program

Adult Flu Program

None of the Above

Are you a Vaccine for Children (VFC) Primary Vaccine Coordinator or a Backup Vaccine Coordinator that is attending for Annual Education Training Certification?

* must provide value

Primary Vaccine Coordinator

Backup Vaccine Coordinator

N/A

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Is your organization a sub-grantee for the Tennessee Department of Health?

* must provide value

Yes

I'm not sure

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If so, are you a Community Health Worker/ Community Health Educator?

* must provide value

Yes

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Do you have any dietary restrictions?

* must provide value

Yes

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If yes, what are they?

* must provide value

Comments

Internal Comments

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Install Date

Y-M-D H:M:S

Participant Code

Install Date

Y-M-D H:M:S

Participant Code

Install Date

Y-M-D H:M:S

Participant Code

Registration Check-In

* must provide value

Yes

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You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.

Immunization Provider Expo

**All in-person slots for the Expo are filled, but registration is still open for the Nashville Virtual Expo on March 27th. Secure your virtual spot now!**

You have selected an option that triggers this survey to end right now.

All in-person slots for the Expo are filled, but registration is still open for the Nashville Virtual Expo on March 27th. Secure your virtual spot now!