Continuing Medical Education

Please register me for the:
International Perspectives on Hepatic, Pancreatic and Biliary Surgery

NYPH Trainee — Registration fee is waived. Identification must be faxed to qualify.

Physicians program includes admission to the following:
Thursday, May 1st Physician Clinical Cases 8:00am - 6:00pm
Thursday, May 1st Opening Reception 6:00pm - 7:00pm
Friday, May 2nd Symposium Day 1 8:00am - 6:00pm
Saturday, May 3rd Symposium Day 2 8:00am - 5:45pm
Saturday, May 3rd Closing Reception 6:30pm - 8:30pm

Nurses and Other Healthcare Professionals
OPTION 1 includes admission to the following:
Thursday, May 1st Hepatobiliary and Liver Program for Nurses 7:30am - 6:00pm
Thursday, May 1st Opening Reception 6:00pm - 7:00pm

Nurses and Other Healthcare Professionals
OPTION 2 includes admission to the following:
Thursday, May 1st Hepatobiliary and Liver Program for Nurses 7:30am - 6:00pm
Thursday, May 1st Opening Reception 6:00pm - 7:00pm
Friday, May 2nd Symposium Day 1 8:00am - 6:00pm
Saturday, May 3rd Symposium Day 2 8:00am - 5:45pm
Saturday, May 3rd Closing Reception 6:30pm - 8:30pm

Online Registration Form

Required fields (*)

* Name (Last)

* Name (First)

Name (Middle)

* Company/Institution

Affiliated Hospital

* Degree

Other, Please list

* Mailing Address

* City

* State

(e.g. NJ)

Country

* Zip

* Daytime Phone

(e.g. 645-012-0000)

Fax

(e.g. 645-012-0000)

* E-Mail (for confirmation and communication purposes)

(e.g. barry@aol.com)

* Select Specialty

Other, Please List

Special Need

Check here if you require special services

Please describe your Special Need

Registration Fee

	NYPH Trainee – Physician Program
	NYPH Trainee – Option 1 Nurse or Other Healthcare Professional
	NYPH Trainee – Option 2 Nurse or Other Healthcare Professional

NYPH trainee registration (waived fee) can ONLY be honored with PROOF OF AFFILIATION AND TRAINEE STATUS. Once you've submitted your online registration, please FAX a photocopy of your NYPH identification badge to 201.346.7011 Attn: Candice Giordano