2026 Internal Medicine Seminar, October 8, 2026

Email(Required)

First Name(Required)

Last Name(Required)

What state is your license issued in?(Required)

What is your license number?(Required)

*Technicians please put N/A

Professional Code(Required)

(Use the following profession codes for this board: Veterinarian=V; Veterinarian Technician=VT) SELECT FROM DROP-DOWN MENU

Veterinary Credentials(Required)

Do you have any other credentials you would like to include here?

Veterinary/Tech School Attended(Required)

N/A if not applicable

Veterinary/Tech School Graduation Year(Required)

N/A if not applicable

Age:(Required)

Corporate Affiliation(Required)

Please use NA if you do not have a corporate affiliation.

Clinic/Hospital Name(Required)

Address(Required)

City(Required)

State(Required)

Postal Code(Required)

Mobile Phone Number(Required)

Internal Medicine 1-Day Seminar:

How will you be joining us for the Internal Medicine Seminar?(Required)

Please select in-person or Live Virtual

Dietary Restrictions?(Required)

This field is used to help accommodate catering for the weekend.

If yes, please specify(Required)

Please be specific with any of your restrictions and/or allergies.

Let us know a little bit about you

What do you hope to achieve from the Internal Medicine Seminar?(Required)

How did you find out about our ultrasound lab?(Required)

If other, please describe here:(Required)

Would you like any additonal information on SonoPath and our support and services?(Required)

SonoPath Educational Telemedicine® services

2027 SonoPath Summit – Halifax, Nova Scotia inJuly

2027 SDEP® Training weekends

In-Hospital SDEP® training

M11 Ultrasound machine

Social Media, Video & Photograph Waivers

Please review the permission waivers below for video, recording, photography and usages that may occur during the Internal Medicine Seminar 2026. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.

Social Media, Video, & Photograph Waivers:(Required)

NOTE: Photos/Videos are taken for marketing purposes. Consent is for appearing in these images (including in background of shots), group photos, etc. Please review the following permission waivers for video, recording, photography and usages that may occur during 2026 Training weekends at the SonoPath Veterinary Education Center. 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)

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.

Do you have any other questions or anything you would like us to know before your seminar with SonoPath?

2026 Internal Medicine Day – OCTOBER

Internal Medicine 1-Day Seminar:

Let us know a little bit about you

Social Media, Video & Photograph Waivers