2026 SEPTEMBER CT Nuts & Bolts

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

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)

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.

Do you have any physical limitations that may limit your participation that you would like to share with us?(Required)

Example limitations could include carpal tunnel syndrome, shoulder issues, difficulty standing for long periods, etc. We will do everything we can do prepare accommodations for your comfort.

If yes, please specify any limitations(Required)

Please be specific so that we are able to prepare accommodations.

Age:(Required)

Example limitations could include carpal tunnel syndrome, shoulder issues, difficulty standing for long periods, etc. We will do everything we can do prepare accommodations so that you may scan in comfort.

Let us know a little bit about you

Do you currently perform CT?(Required)

I am a beginner – I have limited experience using a CT machine

I am intermediate – I have experience with a CT machine but would like to deepen my understanding

I am advanced – I feel confident with a CT machine but would like to learn more

Other

What are your objectives in attending the CT Nuts & Bolts Training?(Required)

Does your practice currently have a CT machine?(Required)

Yes, cone beam

Yes, conventional

What make/model is your CT machine?(Required)

Do you currently submit cases to a teleradiology company for evaluation?(Required)

Yes, I am a client of SonoPath

Yes, I use another teleradiology company

No, but I am interested in SonoPath teleradiology

No, I am not interested in teleradiology at this time

Would you like to set up your FREE Educational Telemedicine® Account with SonoPath prior to the lab?(Required)

We recommend setting up your account prior to the lab for easy transition to continued support post lab.

Do you have any questions ahead of your CT Nuts & Bolts course?(Required)

How did you find out about the CT Nuts & Bolts course?(Required)

Previous SonoPath Lab attendee

Have taken online courses with SonoPath

Google Search

Facebook

Instagram

Marketing Email

Dr. Lindquist

A friend or colleague told me about it

Other

If other, please describe here:(Required)

Will you be staying at the Courtyard By Marriott – Rockaway/Mt. Arlington?(Required)

Yes

If staying at the Courtyard By Marriott – Rockaway/Mt. Arlington, would you like to request a seat on the shuttle (from the Courtyard By Marriott to the Education Center)? Please note, space is limited to the first 10 requests. To ensure a reservation please return this survey promptly. You will be contacted either way to confirm your reservation or to be notified that the shuttle is full.(Required)

Yes

**Please note: The shuttle van runs from the Courtyard By Marriott – Rockaway/Mt. Arlington and the Education Center throughout the lab weekend. PLEASE NOTE: Uber/Lyft/Taxi services are available from the hotel & education center if required.

Social Media, Video & Photograph Waivers

Please review the permission waivers below for video, recording, photography and usages that may occur during the SDEP® Abdomen Lab weekend 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 the 2026 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)

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 weekend with SonoPath?