2017 Ophthalmology White Coat Days at the Legislature presented by NCSEPS and NCMS

Sign up for one of four 2017 Ophthalmology White Coat Days scheduled for April 19, 25 and 26.

Sign up now to participate in one or more of the upcoming 2017 Ophthalmology White Coat Days, scheduled for April 19, 25 and 26. Ophthalmologists from across the state will gather in Raleigh to ensure patient safety and preserve Surgery by Surgeons. There is no fee to participate. Practicing ophthalmologists, retired physicians, residents and fellows-in-training are invited to participate. Complete this sign-up form to participate on one (or more) of the dates offered, or to indicate another date that would work better for your schedule.

A typical White Coat Day schedule runs from 7:30 am to 2:00 pm (lunch is provided). Following a legislative briefing at the NC Medical Society, participants will meet with legislators and attend legislative committee hearings at the NC General Assembly. We’ll have you on the road home by 2:00pm (earlier, if necessary).

This event is jointly presented by the NCSEPS and the NC Medical Society.

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* 1. I will participate on:

Wednesday, April 19

Tuesday, April 25

Wednesday, April 26

I am not available on those dates. I would come to Raleigh on these dates:

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* 2. Contact Information

Name

Practice

Home Address

City/Town

ZIP/Postal Code

Email Address

Cell Phone Number*

* Your cell phone number will be used to communicate any last minute schedule changes on the day of the meeting. Your meeting schedule will be subject to change right up to the very last minute due to the fluid environment at the legislative building.

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* 3. Please indicate any dietary restrictions, schedule limitations or other requests:

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* 4. Current residents and fellows-in-training, please indicate your academic institution:

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* 5. Local Meetings

I would like assistance coordinating local meetings with legislators.

Thank you for your participation and support of NCSEPS! To make changes to your registration, please contact NCSEPS' Denna Suko at dsuko@ncmedsoc.org or 919-833-3836.