Registration

Other Information

If you do not have a NPI # leave this field blank. Need help locating your NPI #?

Payment Information

After July 7, 2018 rates increase to $550 for Physicians / Other, $350 for Nurse / Dietitian / Allied Health, $295 for Resident / Fellow.

After August 31, 2018 rates increase to $595 for Physicians / Other, $395 for Nurse / Dietitian / Allied Health, $350 for Resident / Fellow.

Cancellations must be received in writing at the Ciné-Med, Inc. office before September 2, 2018. No refunds will be issued after this date.

Upon cancellation, a $75 administration fee will be subtracted from the refunded registration fee.



This math problem is a Completely Automated Public Turing test to tell Computers and Humans Apart (CAPTCHA)