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2024 SonoPath Annual Summit – Florence, Italy – November 29 – December 1
2024 Summit Florence Italy November 29 – December 1
Email
(Required)
First Name
(Required)
Last Name
(Required)
Which Country is your license issued in?
(Required)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Which State (if USA) is your license issued in?
(Required)
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UM
UT
VA
VI
VT
WA
WI
WV
WY
International/Other
What is your license number?
(Required)
*Technicians please put N/A
Professional Code
(Required)
V
VT
N/A
(Use the following profession codes for this board: Veterinarian=V; Veterinarian Technician=VT) SELECT FROM DROP-DOWN MENU
Veterinary Credentials
(Required)
DVM
DACVIM
DACVR
DABVP
DACVS
DACVSMR
Technician
Not a veterinarian
DACVAA
DACVD
DACVECC
DACVIM-SAIM
DACVO
DACVP
DACVS-SA
DACDC
DDA
ABVP
AH
APAC
ARDMS
ARF
BS
BSc
BVSc
CCRP
CCRT
CERP
CVA
CVCHM
CVJ
CVPP
CVT
ECVIM
HBSc
JD
LVT
MBA
MHS
MPH
MRCVS
MS
MSc
NAP
PhD
PT
RDMS
RPG
RVT
VMD
Corporate Affiliation
(Required)
Please use N/A if you do not have a corporate affiliation
Clinic/Hospital Name
(Required)
Address
(Required)
City/Providence
(Required)
Country
(Required)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
State
(Required)
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UM
UT
VA
VI
VT
WA
WI
WV
WY
International/Other
Please select “international” at end of list if not from the USA
Postal Code
(Required)
Mobile Phone Number
(Required)
Dietary Restrictions?
(Required)
No
Yes
Lunch is catered daily by the Lungarno Hotel. We will forward this information to them.
If yes, please specify
(Required)
Please be as specific as possible with dietary restrictions so we can translate it appropriately to hotel catering.
Do you have any physical limitations that we should be aware of?
(Required)
No
Yes
Specifically please note that we have a short 5-7 minute flat walk between the lecture hall and lunch, so an example may include assistance needed with stairs or walking. Also please note that the conference chairs are provided by the lecture hall. We will be sitting for a majority of the day. Please do let us know of anything that may require assistance while you are with us.
If yes, please specify
(Required)
Please also let us know if there is anything you are concerned about.
We would love to learn a little more about you!
How did you hear about the SonoPath Summit 2024?
(Required)
SonoPath Website
Google Search
Word of Mouth (friend/colleague)
Dr. Eric Lindquist
Dr. Peter Modler
Dr. Margie Scherk
Dr. Remo Lobetti
Newsletter advertisement
Epica
Previous SonoPath lab or summit attendee
Facebook
Instagram
Linkedin
Other
Are you familiar with SonoPath and our ultrasound training as well as services?
(Required)
Yes
No – I look forward to learning more
What was the number one reason you choose to attend this years Summit?
(Required)
Lecturers
Location
Topics
What do you hope to learn at the SonoPath Summit 2024?
(Required)
Is there a specific lecture or lecturer you are most looking forward to?
(Required)
Lecturers are Dr. Eric Lindquist, Dr. Peter Modler, Dr. Margie Scherk, and Dr. Remo Lobetti
Do you currently submit cases to a telemedicine company for evaluation?
(Required)
We currently use SonoPath for telemedicine
Yes, but we use another telemedicine company
No
Are you interested in learning more about SonoPath Educational Telemedicine™ Services?
(Required)
Yes – please send me information
No
Are you interested in seeing the M11 ultrasound machine, exclusive to SonoPath from Mindray?
(Required)
I am interested in learning more about the M11 ultrasound machine
I am interested in acquiring more probes
I am interested in a pricing consultation regarding the M11
I have other questions when I see it
SonoPath is the exclusive distributor for the M11 in veterinary medicine in North America.
Will you be staying at one of the Lungarno Hotels?
(Required)
Gallery Hotel Art
Continentale
Portrait
Hotel Lungarno
Other
Have you heard of our Platinum Sponsor Epica / Imaginist?
(Required)
Yes, we have equipment from Epica/Imaginist.
Yes, I know them but don’t work with them.
No, I’ll look forward to learning more at the Summit!
The most advanced imaging platforms designed for every veterinarian.
Do you have any questions you would like to submit for the Round-table discussion on Sunday?
You will have opportunities throughout the weekend to submit more questions, but feel free to get a head start on yours!
Do you have any other questions or concerns we can assist you with?
You're Invited!
We are delighted to invite you to join us for a Welcome Reception with drinks and nibbles at the Fusion Bar & Restaurant at the Gallery Hotel Art on Friday, November 29, 2024 from 6-10pm. * Please feel free to drop in anytime between these hours.
RSVP
Accepts with pleasure
Accepts with pleasure (and a guest)
Declines, with regrets
Guest Name
Social Media, Video & Photograph Waivers
Please review the permission waivers below for video, recording, photography and usages that may occur during the SonoPath Summit 2024, Florence, Italy. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. Please note, these videos/stills will be used for social media content, advertising content, and distribution amongst attendees as a reminder of our time together. Our main goal is education, so we endeavor to make our photography seamless within that.
Social Media, Video, & Photograph Waivers:
(Required)
YES, I consent to my photo being taken (see full details below)
NO, please leave me out of pictures (see full details below)
Please review the following permission waivers for video, recording, photography and usages that may occur during the 2024 SDEP® Lab weekend. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. YES: 1. I hereby give SonoPath, LLC the absolute right and permission to publish images/pictures of me for promotional purposes in which I may be included in whole or in part. 2. I hereby also grant permission to the rights of my image and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed. 3. By selecting YES, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet. NO: I do not grant SonoPath, LLC the right or permission to publish images/pictures/recordings of me for promotional purposes in which I may be included in whole or in part.
Permission Waiver: Digital Signature:
(Required)
By checking the boxes above and typing my name in this field, I acknowledge that I have completely read and fully understand the releases and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.
SonoPath, LLC- Intellectual Property Statement:
(Required)
YES: I agree to the intellectual property statement below
No: I have questions
INTELLECTUAL PROPERTY STATEMENT: The content of this course, video and procedures are protected under copyright and other intellectual property laws. Video’s supplied to the attendees and/or education information is ONLY for non-commercial private viewing and individual private use only. Any distribution, sharing, copying, teaching, transmission, public performance, alteration, or reverse engineering outside private individual use of purchaser/attendees (unless expressly authorized by SonoPath, LLC) is strictly prohibited and may result in criminal and or civil liability.
If you answered no, please list your questions here:
(Required)
Intellectual Property Statement: Digital signature
(Required)
By checking the YES box above and typing my full name in this field, I acknowledge that I have completely read and fully understand the intellectual property statement and agree to be bound thereby.
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