October 2022 Go Live

Please use the following form to submit availability for our October 2022 go live

Name*
Preferred Email*
Please provide your preferred email regarding this project. It's okay if this is different than your sign up email.
Have you worked an MDL Go Live in the past*
- No
- Yes
Level*
- MS1 - MS2
- MS3
- MS4
- Resident
School or Residency program*
Where are you currently using Epic (residency program or med school, or other)
Weeks Available*
Please select weeks you're available.
- Available All Dates
- Week 1: Saturday 10/1 - Friday 10/7
- Week 2: Saturday 10/8 - Friday 10/14
- Week 3: Saturday 10/15 - Friday 10/21
- Week 4: Saturday 10/22 - Friday 10/28
Referred By
If someone referred you to MDL, please let us know here.
Epic Experience*
Please provide a brief description of your Epic experience.
Additional Comments
Please provide any additional comments if necessary
File Upload If Necessary
If you'd like to upload any files, please do so here.
Drop files here or

Max. file size: 32 MB.

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