First Name *

Last Name *

Email *

Organization (e.g., Hospital/Health System, Community-Based Organization, College/University, Health Insurance Provider, Private Practice/Clinic, Government Agency, Other) *

Title (e.g., Physician, Nurse, Social Worker, Executive/Administrator, Instructor/Faculty, Student/Trainee, Other) *

How are you planning on attending the 2026 Health Economic Insights event on Friday, 2/13/26? *
- Select Option In Person Live Stream

Have you attended a Health Economic Insights/Forecast event before? *
- Select Option Yes No

Are you a current student (any college/university)? *
- Select Option Yes No

Do you need any special accommodations? If so please specify.

How did you first hear of the Health Economic Insights Event? (Choose the option that best describes you) *
I'm a Past Attendee
From My Colleague
Through My Employer
Email Invite
Social Media
From a University Employee
Other