SIGNUP

Hold on there!

You may already be listed in our system if you have ever registered for any workshops or received any correspondence from us. To check, click here

Thank you for taking the time to set up your profile with us. This will enable you to sign in at any time and review any and all sessions for which you are registered. You need only complete this sign up form once as we will keep your information on file and apply it to all future registrations.

Keep in mind you can always sign in to your profile and update your account information should your information change.

Step 1 : Login Information

Your primary email address will be used to log into the site. It's also where we'll send all correspondence.

You will be asked to create your password when you receive your activation email.

Step 2 : Personal Information

Tell us some basic information about yourself, so we know how to greet you.

Step 3 : Contact Information

In case we ever need to contact you or mail you anything.

Ext:

Step 4 : Hospital Affiliation(s)

Step 5 : Academic Affiliation(s)

Step 6 : Types of Teaching

Select all of the types of teaching you are involved in (if applicable):

Final Question

Submit this form and you will receive an email verifying your address.