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Hands on Course Sign Up 2023

Clinical Education Course

We are excited to get you registered for one of our upcoming Peer to Peer education courses. To simplify your registration please provide the following. An Elucent team member will be in touch to finalize any travel details.
1.What is your first and last name?(Required.)
2.What is your email?(Required.)
3.What is your phone number?(Required.)
4.Which hospital are you affiliated with?(Required.)
5.Which course do you plan to attend?(Required.)
6.What method of travel do you prefer to get to the course?(Required.)
7.Would you like us to book your plane or train ticket?(Required.)
8.Would you like a hotel room booked for you for the Friday night before the course?(Required.)
9.Are you a current user of EnVisio Surgical Navigation?(Required.)
10.How did you hear about the clinical education course?(Required.)
11.Do you consent to allow Elucent to use photos that may be obtained during the clinical education course? (Required.)