Trainee Registration Form
The University of Washington
Pediatric Pulmonary Center Training Program based at Seattle Children's Hospital
is funded primarily by grants from the federal
Maternal Child Health Bureau.
As a condition of
our funding, we report certain demographic information concerning faculty
members and trainees. This information is confidential and remains within
the Pediatric Pulmonary Center data center. No individual information
is reported to the funding body.
We ask you to complete
a 14-question registration form at the beginning of your PPC training
experience and a brief follow-up survey at the end. Additional follow-up
surveys to document the long-term impact of PPC training will be conducted
at 5 and possibly 10 years post training.
Thank you for your
participation which contributes to the continuation of our work at the
Pediatric Pulmonary Center.
Click on the following
link to complete the registration form.
PPC
Trainee Registration Form
Please e-mail or mail this to:
PPC Program Assistant
Pulmonary, A-5937
Seattle Children's Hospital
4800 Sand Point Way NE
Seattle, WA 98105
seappc@u.washington.edu
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