Course Information * Indicates a Required Field. Course Name: Venous Insufficiency Online Activity *Price: Online Vascular Ultrasound Courses Annual Pass- $495 Enter Promo Code Venous Insufficiency Online Activity- $295 Enter Promo Code Registrant Information *First Name: *Last Name: *Credentials: Company/Hospital/Practice Name: *Specialty: Allergy and Immunology Anesthesiology Cardiology Dermatology Emergency Medicine Family Medicine Gastroenterology Internal Medicine Neurology Obstetrics and Gynecology Oncology Ophthalmology Orthopedics Otolaryngology Pathology Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Preventive Medicine Psychiatry Radiology General Surgery Thoracic Surgery Urology Vascular Surgery Other Contact Information *Street: *City: *State: *Zip: *Country: *Phone: *Email: *How did you hear about us? Smart Brief Web research Email LinkedIn Facebook YouTube Twitter Peer/colleague referral Post card mailing Equipment Manufacturer Trade show Referred by: Additional Information Required CME Units per: Year Month Week What is your current level of ultrasound training? None Minimal/Basic Advanced, but need additional training in a specific area Equipment Type:
