Onsite clinic training- Abdomen | SonoPath | Fostering the Art of Veterinary Medicine

Onsite Clinic Training – Abdomen

Email(Required)

First Name(Required)

Last Name(Required)

What state is your license issued in?(Required)

What is your license number?(Required)

*Assistants please put N/A

Professional Code(Required)

(Use the following profession codes for this board: Veterinarian=V; Veterinarian Technician=VT) SELECT FROM DROPDOWN

Veterinary Credentials(Required)

Choose all that apply.

Corporate Affiliation(Required)

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

Company Name(Required)

Address(Required)

City(Required)

State(Required)

Postal Code(Required)

Mobile Phone Number(Required)

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

Example limitations: Carpal tunnel syndrome, shoulder issues, standing for long periods at a time, etc. We ask this, so that we can be prepared for any special accommodations or alternative suggestions for scanning positions that will best accommodate you.

If yes, please specify(Required)

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

Let us know a little bit about you

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

Yes – I have been scanning with the SDEP® Protocol

No – I do not use the SDEP® protocol

Only from watching the training materials

Other

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

Previous Hands on SDEP® Abdomen Lab with SonoPath

Previous LIVE Virtual SDEP® Abdomen Lab with SonoPath

SDEP® Abdomen online course on SonoPath Education Network

Other

Tell us about your current ABDOMINAL ultrasound level so we can tailor our instruction to your needs.(Required)

I am a beginner – I’ve done little to no scanning

I am intermediate – I get most organs, but have trouble with adrenals and high-end views

I am advanced – I readily get organs, but would like to improve my efficiency, shunt hunts and ability to adapt to all situations.

Other

How many ultrasounds do you currently perform each week?(Required)

1-5

6-10

>10

Do you have any echocardiogram experience?(Required)

Yes

NOTE: abdominal video series touches base with echo sdep pos 3.

What do you hope to achieve from your on-site training and going forward? Please be as specific as you like, the more we know the more we can assist in your goals.(Required)

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

We currently use SonoPath for telemedicine

We are planning to use SonoPath after training

What make and model of ultrasound machine does your practice currently have, and how old is it?(Required)

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

Yes

Would you be interested in the following:(Required)

I am interested in a free pricing consultation regarding the SonoPath NinjaSP

Other

Please list your questions here(Required)

How did you find out about our on-site training opportunity?(Required)

Attended a SonoPath weekend lab before

Have taken an online course with SonoPath

Google Search

Facebook

Linked In

I received an email

Dr. Lindquist

A friend or colleague told me about it

Other

If other, please describe here:(Required)

Social Media, Video & Photograph Waivers

Please review the permission waivers below for video, recording, photography and usages that may occur during the onsite training. 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)

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 checking this box 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.

Anything else you would like to let us know? Any Questions?