Remote Presence Clinical Innovations Forum 2008

Remote Presence Clinical Innovations Forum
July 17-19, 2008

Overview

Invited Faculty

Forum Agenda

Registration

FORUM REGISTRATION FEE: $325
(includes scientific & keynote sessions / Thursday evening reception / Friday Continental breakfast, lunch and evening gala reception & dinner)

* Denotes Required Field

PERSONAL INFORMATION
*First Name:		*Last Name:
Degree:		Specialty:
CONTACT INFORMATION
Hospital or Organization		*Email:
Organization Address:
City:		State:
Country:		Zip:
Daytime Phone:		Fax:
Alternate Phone #:
MAILING ADDRESS IF DIFFERENT FROM ABOVE
Mailing Address:
City:		State:
Country:		Zip:
A limited number of guest rooms have been reserved at Fess Parker's DoubleTree Resort. Upon receipt of your registration form, you will be contacted regarding airline and hotel needs. For best availability of hotel rooms, please register before June 15, 2007. For more information please contact the Forum Organizer at forum@intouchhealth.com or 866.804.8592.