Survey: SDEP® Abdomen Lab - August 25-27, 2023, Andover, New Jersey | SonoPath

First 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 DROPDOWN!

Veterinary Credentials(Required)

Corporate Affiliation(Required)

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

Company Name(Required)

Postal Code(Required)

Mobile Phone Number(Required)

Dietary Restrictions?(Required)

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

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: 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.

Proof of Vaccination or Negative Test(Required)

Max. file size: 50 MB.

Let us know a little bit about you

What do you hope to achieve from the 3-day SDEP® Abdomen Lab?(Required)

What do you hope to learn from the pathology lectures?(Required)

Please list your questions here

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

Survey: SDEP® Abdomen Lab – August 25-27, 2023, Andover, New Jersey

Survey: SDEP® Abdomen Lab - August 25-27, 2023, Andover, New Jersey

Let us know a little bit about you