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Page 1: Sacramento Heart Center |  Synergy Pulse Tip of the Day (Registration Form)

04/10/2023 1

Team synergySMARTSP.O. Box 164, Roseville, CA 95678

(916) 670-5589 www.synergySMARTS.com

[email protected]

Synergy Pulse Tip of the Day

©2013 sustainableSMARTS

Registration Forms

Page 2: Sacramento Heart Center |  Synergy Pulse Tip of the Day (Registration Form)

04/10/2023 2©2013 sustainableSMARTS

Page 3: Sacramento Heart Center |  Synergy Pulse Tip of the Day (Registration Form)

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Page 5: Sacramento Heart Center |  Synergy Pulse Tip of the Day (Registration Form)

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Page 6: Sacramento Heart Center |  Synergy Pulse Tip of the Day (Registration Form)

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Page 11: Sacramento Heart Center |  Synergy Pulse Tip of the Day (Registration Form)

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1. Print the completed Getting Started Form from the Account Profile>>>My Profile Area2. Verify the correctness of information.3. Edit any errors and initial.4. Fax to (801)443-32795. Call Phone (801)769-7800 , if you have any questions

Note: For a one-time placement change, within 24 hours of registration. Correct the Getting Started Form, initial corrections and write “Placement Change” at top of form.

Page 12: Sacramento Heart Center |  Synergy Pulse Tip of the Day (Registration Form)

04/10/2023 12

Team synergySMARTSP.O. Box 164, Roseville, CA 95678

(916) 670-5589 www.synergySMARTS.com

[email protected]

Synergy Pulse Tip of the Day

©2013 sustainableSMARTS

Registration Forms


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