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Advancing the Science of Ultrasound Guided Regional Anesthesia and Pain Medicine

Ultrasound for Pain Medicine Workshop


I. Registration Personal Data
Title
* First Name
* Last Name
Clinic/Department/Organization
* Full Address
* City
State/Province
* Country
Postal/Zip Code
* E-mail
Telephone
* Special Meal Requirement (If none please input N/A)

Please check off the fields that apply to you :

Anesthesiologist
Neurologist
Neurosurgeon
Psychiatrist
Psychologist
PMR
RN
NP
PA
Others

How did you hear about our workshop:

Colleague
Website
E-Mail
Others

II. Registration Fee

Workshops Available Dates for 2018 - All prices are in $CAD + Tax

Two-day Course (Staff Physicians)
$1,200 + Tax
Two-day Course (Trainees)
$700 + Tax
Lecture and Group Demonstration Only (Day 1 only)
$400 + Tax

Please fax letter to 416-603-6494 from Chief of Dept. stating you are a fellow or resident to get the TRAINEES rate.


Toronto Centre for Ultrasound Education
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