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Meeting Registration * = Required Field
If you are already registered and would like to make changes, please find your registration to continue.
Primary Registrant Information
Prefix First Name Initial Last Name Suffix
* *
Badge Name: * Please do not use all capital letters.
 Update my personal record with the phone and fax numbers below.
Phone #: * (###-###-####) for U.S numbers
Fax #: (###-###-####) for U.S numbers
 Update my personal record with the email address below.
Email: *  
Secondary Email Address:
 Update my personal record with the information below.
Organization 1:
Organization 2:
Address 1: *
Address 2:
City / State / Zip: * *
Country:
Type:
Registration Type: * View Type Information
Registration Fee:
 
Additional Information
Please enter your NPI:
* for Sunshine Act compliance
Please select the job category or categories best related to your job description: *
 General Surgeon  Hand Therapist  Neurologist
 Neuroscientist  Neurosurgeon  Occupational Therapy
 Orthopedic Surgeon  Otolaryngologist  Physical Therapist
 Plastic Surgeon
If you or an accompanying person require special accommodations to fully participate, please describe your needs:

License Number

*for Sunshine Act compliance

 

State of License

*for Sunshine Act compliance

 
*

How many years have you been in practice?

Under 5 5-10 10-15
15-20 20-25 25-30
30-35 35-40 40-45
45-50 50-55 55-60
Over 60
 
*

What is your practice setting?

Private practice Academic Hospital based
 
*

What are your interests?

You may select up to 13 options.
Arthritis Arthroscopy
Congenital Elbow Conditions
Hand Therapy/Rehabilitation Nerve
Replantation Secondary Reconstruction/Joint Contractions
Soft Tissue Issues/Flaps Tendon/Nerve Transfers
Trauma Tumor
Wide Awake Surgery