Request Remote Training with Jamie

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Upon completion of training, you will receive a certificate of completion and approval for up to 12 SDMS credits.

Email *

Full name *

Phone Number *

Dates Requested *

YYYY

Preferred Availability For Training *

Mornings

Afternoons

Weekends

Required

Facility *

Facility Address *

I am a: *

Sonographer

Physician

Physical Therapist

Nurse Practitioner

Physician's Assistant

Other:

Group Size *

Do you have an ultrasound system? *

Yes

No, I need a system

If yes, which Manufacturer and Model? *

Please list the manufacturer and model of any Ultrasound systems available at your site (ie: GE, Phillips, Siemens, Sonosite, Samsung, Mindray, ATL, Toshiba, HP, etc)

If no, would you like me to provide the ultrasound system? *

Yes

Which transducers does your system have? *

Select all that apply

12-18 MHZ linear transducer

6-10 MHZ linear transducer

9-10 MHZ curved transducer

3-5 MHZ curved transducer

I do not have an ultrasound system

Other:

Required

Special Interests *

Select all that apply

Shoulder

Elbow

Wrist & Hand

Hip & Thigh

Knee

Lower leg, ankle, & foot

Peripheral nerves

Interventional techniques

Required

Please list additional information to help me customize your itinerary to suit the needs of your practice *

I understand that this type of training requires specialized equipment and I am responsible for the cost of renting and shipping the Ultrascan Remote System to the training location of the host and participant(s) *

Yes

How did you hear about me? *

Submit

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