2024 Update on the Treatment of Pituitary Tumors: Patient or Caregiver Registration

We look forward to you joining us virtually on Friday, April 5, 2024! As part of your registration for this program, we are asking all patients/caregivers to answer the following questions below. Your responses will help us better prepare for the course.

Please note that additional access instructions will be sent to all registered attendees prior to the start of the course. If you have any questions, contact cme@mskcc.org.

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* 1. First Name

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* 2. Last Name

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* 3. Your Contact Information

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

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* 4. Guest Information
If you're registering with a guest, please enter their information below.
If you're not registering a guest, please input 'n/a' in both fields.

First Name

Last Name

Email Address (must be different from your email listed above in Question 3)

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* 5. Are you currently on any type of active treatment process such as diagnosis vs. treatment, active disease vs. remission/recurrence? Please provide details.

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* 6. How many treatments have you gone through so far (surgery, radiation, medical therapy)? Please provide what type of treatment.

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* 7. What is your primary diagnosis?

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* 8. What type of Cushing's are you diagnosed with? (if you selected 'Cushing's' from the dropdown for Q7, please answer this question)

Pituitary

Adrenal

Ectopic

Exogenous (i.e. due to taking a steroid medication)

Other (please specify)

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* 9. Are you currently receiving any treatment or previously been treated at any hospital or a place of practice?

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* 10. Patient Track Breakout Selection
Please select one breakout session to attend from 1:15-2:30 PM.

Cushing’s Patients (CSRF)

Acromegaly Patients (Acromegaly Community)

Pituitary Support Group and MSK’s Pituitary Survivorship Program

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* 11. How did you hear about this program?

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* 12. What type of topics would you like to hear about during the program?

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* 13. Are you interested in hearing from MSK’s Multidisciplinary Pituitary & Skull Base Tumor Center’s about upcoming events, research, and clinical trials?*

Yes

*Please note that if you select 'Yes' to the question above, you are giving MSK CME permission to share your contact information with the MSK Multidisciplinary Pituitary & Skull Base Tumor Center.

2024 Update on the Treatment of Pituitary Tumors: Patient or Caregiver Registration

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Your Contact Information

Question Title

* 4. Guest Information If you're registering with a guest, please enter their information below. If you're not registering a guest, please input 'n/a' in both fields.

Question Title

* 5. Are you currently on any type of active treatment process such as diagnosis vs. treatment, active disease vs. remission/recurrence? Please provide details.

Question Title

* 6. How many treatments have you gone through so far (surgery, radiation, medical therapy)? Please provide what type of treatment.

Question Title

* 7. What is your primary diagnosis?

Question Title

* 8. What type of Cushing's are you diagnosed with? (if you selected 'Cushing's' from the dropdown for Q7, please answer this question)

Question Title

* 9. Are you currently receiving any treatment or previously been treated at any hospital or a place of practice?

Question Title

* 10. Patient Track Breakout SelectionPlease select one breakout session to attend from 1:15-2:30 PM.

Question Title

* 11. How did you hear about this program?

Question Title

* 12. What type of topics would you like to hear about during the program?

Question Title

* 13. Are you interested in hearing from MSK’s Multidisciplinary Pituitary & Skull Base Tumor Center’s about upcoming events, research, and clinical trials?*

* 4. Guest Information
If you're registering with a guest, please enter their information below.
If you're not registering a guest, please input 'n/a' in both fields.

* 10. Patient Track Breakout Selection
Please select one breakout session to attend from 1:15-2:30 PM.