Trabectome Training Registration
STEP 1 - SELECT YOUR PREFERRED TRAINING SESSIONS

Please select your preferred training session.

SelectTraining SessionAgendaLocationTrainerAvailability
North Carolina Society of Eye Physicians & Surgeons
Omni Homestead Resport: Room TBD
Saturday - September 23, 2017 - 12:15-15:15		Hot Springs, VirginiaDr. Constance O. Okeke, MD, MSCEOPEN
Select this to indicate that you are only interested in receiving future training annoucements at this timeTustin, CATBDOPEN

NOTE: We are arranging more Trabectome Training/Wet Lab opportunities this year (2017), please contact us at the NeoMedix office for the future dates and locations.  training@neomedix.net  We may have one coming to your region very soon. Thank you!

STEP 2 -  TRAINEE DETAILS
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Please note that to participate in the surgical observation portion of the Trabectome training program, the surgical facility requires your current PPD and CV submitted. Please attach the required documents using the form below.

Resume (CV): 
PPD Test Result: 

Please specify the mailing address where you would like your training certificate to be mailed to.

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Hospital Details

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Hospital Operating Room Head Nurse

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Hospital Administrator

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ASC Details

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ASC Operating Room Head Nurse

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ASC Administrator

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