Attendee Information - SDEP® Echo Lab - September 13-15, 2024, Andover, NJ | SonoPath

Please complete the form below. Upon submission, you will be redirected to a page with information on how access your online pre-weekend study materials.

2024 SDEP® Echo Lab Weekend – September 13-15, Andover, NJ – Hands-On Attendees

Email(Required)

First Name(Required)

Last Name(Required)

What is your license number?(Required)

*Technicians please put N/A

What state is your license issued in?(Required)

Professional Code(Required)

Select from Dropdown Menu. Please use the following profession codes for this board: Veterinarian=V; Veterinarian Technician=VT

Veterinary Credentials(Required)

Please add any other credentials you may have:

Corporate Affiliation(Required)

Please use N/A if you do not have a corporate affiliation.

Company Name(Required)

Address(Required)

City(Required)

State(Required)

Postal Code(Required)

Mobile Phone Number(Required)

Dietary Restrictions?(Required)

This information is necessary for the weekend’s catering.

If yes, please specify(Required)

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

Do you have an physical limitations that would limit your scanning abilities, that we should know about?(Required)

Example limitations include Carpal tunnel syndrome, shoulder issues, standing for long periods at a time, etc. This information allows us to readily have scanning positions and accommodations ready for you to scan at your best.

If yes, please specify(Required)

Please be specific with any physical limitation concerns you may have.

Let us know a little bit about you

Tell us about your current ultrasound level so we can tailor our teaching and stations to your needs.(Required)

I am a Beginner – limited scanning, do not know what cardiac views are needed, starting from scratch

I am Beginner/Intermediate – I am familiar with the needed cardiac views and can get most of them, limited or no experience with measurements and Doppler

I am Intermediate – I am fairly confident with my ability to get the needed cardiac views, need refinement on measurements and Doppler

I am Intermediate/Advanced – I am confident with the needed cardiac views, measurements and Doppler, but need refinement on more difficult presentations as well as efficiency

I am Advanced – I am very confident with needed cardiac views, measurements and Doppler; I would like to take my current skills to the next level, improve efficiency and my clinical approach to pathology

Other

How long have you specifically scanned hearts?(Required)

Are you familiar with the SDEP® protocol?(Required)

Yes – I have been scanning with the SDEP® Protocol

No – I do not use the SDEP® protocol

Other

If yes, where did you receive your training?(Required)

Previous Hands on SDEP® Lab weekend with SonoPath

Previous LIVE Virtual SDEP® Lab weekend with SonoPath

Previous SDEP® Echo online courses with SonoPath

Other

Are you familiar with Doppler?(Required)

Yes

Other

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

We currently use SonoPath for telemedicine

Yes we use another telemedicine company

No – we read our own cases

Other

Would you like to set up a FREE telemedicine account with SonoPath for after lab support and diagnostic reports?(Required)

Yes – Please send information on how to sign up

If yes, please specify any feedback you have received. This will help us determine your scanning group.(Required)

What are the primary issues you would like to work on within echocardiography?(Required)

If the opportunity is available do you wish to have scanning time on a feline?

Yes

DISCLAIMER: We work with local shelters to provide scanning patients, the availability of felines is not guaranteed.

What topics are you most interested in learning about during the pathology lectures?(Required)

Does your practice currently have an ultrasound machine?(Required)

Yes

What brand is your Ultrasound machine?(Required)

If no, would you be interested in the following:(Required)

I’m interested in learning more about Sonopath’s ultrasound machine

Are you looking to upgrade your current ultrasound system?(Required)

Yes

I am interested in acquiring more probes

I have other questions

Please select all that apply(Required)

I’m interested in learning more about Sonopath’s ultrasound machine

I am interested in acquiring more probes

I have other questions

Please list your questions here(Required)

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

Attended a lab before

Received an email

Google Search

Facebook

TikTok

Completed another SonoPath online course

Dr. Eric Lindquist

A friend or colleague

Are you staying at the Courtyard by Marriott Rockaway/Mt. Arlington with our Attendee discount?(Required)

Yes

If staying at the Courtyard, would you like to request a seat on the shuttle (from the Courtyard to the Education Center)? Please keep in mind, 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 is only available on the weekend from Friday morning until Sunday.

If requesting the shuttle van for the weekend, will you need transportion back to the hotel after lectures on Sunday?(Required)

Yes

Lectures on Sunday will conclude approximately at 5:00pm.

Permission Waivers and Intellectual Property Statement:

SDEP® Echo Lab weekend 2024 Attendees: Please review the permission waivers below and intellectual property statement.

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

Please review the permission waivers above for video, recording, photography and usages that may occur during the SDEP® Echo Lab weekend 2024. 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: 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. I also understand and 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. 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 full name in this field, I acknowledge that I have completely read and fully understand the permission waivers 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.

Anything else you'd like to let us know? Any Questions?

Attendee Information – SDEP® Echo Lab – September 13-15, 2024, Andover, NJ

2024 SDEP® Echo Lab Weekend – September 13-15, Andover, NJ – Hands-On Attendees

Let us know a little bit about you

Permission Waivers and Intellectual Property Statement: