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MISSOULA -VITAS QUALITY OF LIFE INDEX (MVQOLI)©
 Registration Form


There are no fees for using the Missoula-VITAS Quality of Life Index but we do ask that you register by providing your organization name and a contact person. 

Registration assures that you receive notice of any updates to the Missoula-VITAS Quality of Life Index. 

Registered users will also receive information on MVQOLI benchmarking efforts and the option to share and compare quality of life data anonymously with other users.

 To Register
Please email Melanie Merriman, PhD,  at   touchst@ix.netcom.com   with the following information: 

1. Organization Name
2. Type of Organization:  (Choose all that apply)
  • Hospice
  • Hospital
  • Home Health
  • Long Term Care
  • Other (please specify)
3. Contact Person:
  • Name
  • Address
  • Phone
  • Fax
  • E-mail

 

4. How do you plan to use the MVQOLI? 
  • Patient Care
  • Research
  • Both patient care and research
  • Other (please specify)

Thank You for registering.

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All rights reserved. Copyright ©  1997-2013  Ira Byock
 This website was last  updated February 13, 2013.
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