AD Submission Form

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Academic Detailing Request

First Name

Last Name

Pronouns

Phone

Email

Organization

Please provide a few dates and times to schedule an academic detailing session

What is the most urgent issue for you in regard to opioids?

CENTER FOR INNOVATION IN ACADEMIC DETAILING ON OPIOIDS AND STIMULANTS

San Francisco Department of

Public Health

25 Van Ness Avenue, Suite 500
San Francisco, CA 94102

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CIAO is a program of the San Francisco Department of Public Health in collaboration with the California Department of Public Health and the CDC.

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