Convention Registration

This registration form is for doctors and medical assistants. This form is to register one individual. Please complete form separately for each additional registrant from your office. 
An additional fee of $35 will be added to all registrations received after September 28, 2023. After September 28, complimentary registrations will increase to $35.
For assistance, call 888-330-5589.
Registration Fees *
Attendance Options
Please indicate below how you will participate in the conference - all virtual or all in person. We regreat that we cannot offer a combined format of both virtual and in person.
There is an additional fee of $150 to attend virtually. This fee covers the additional costs to provide a virtual option to attend.
Select Attendance Option *
Doctors: Please help us plan for your attendance. Select the events that you will attend. *
Medical Assistants/Staff: Please help us plan for your attendance. Indicate which of the following you will attend. *
Saturday Lunch *
Adult CPR/AED Certification Course - Thursday, October 5
Current Total:
Cancellation Policy *
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