Registration Fee:

	Standard
Nurse	$349.00
Nurse Practitioner	$349.00
DO	$349.00
MD	$349.00
Resident/Fellow	$349.00
Physician Assistant	$349.00

What city you will be attending?

Name & Profession

Due to the high volume of interest, space is limited for hands-on participation. We will be in touch with you 2 weeks before the program with more information if you are selected to bring a patient.

Attendees ( + Add a Registrant )

You $ 0.00

Total Registration Cost: $ 0.00

Street Address

Contact Information

Thank you for your interest in this program. In order to participate, you must be a dermatologist, facial plastic surgeon, otolaryngologist, ophthalmologist, oculoplastic surgeon or plastic surgeon. If you would like to have more information as other training programs become available, please complete the following info:

How Did You Hear About Us?

Please list any questions or possible discussion topics for the faculty.

Cancellation Policy

Cancellations received 14 days prior to the program date are eligible to receive a full refund less the credit card processing fee.

Cancellations will be accepted via e-mail (info@x-medica.com), and must be received by the stated cancellation deadline.

Refund requests must include the name of the attendee and the date and location of the program.

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Note: To cancel your registration please contact us at info@x-medica.com

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