JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
KIDNEYcon 2022 Virtual Registration
Thank you for you interest in KIDNEYcon 2022! Please complete the short form below to register for the meeting and receive the Zoom link for the conference via email a week prior to the event
Friday April 29-30
Check out the full program here:
http://kidneycon.org/ibili
If you will need CE credit, please register via the following link:
https://apps.uams.edu/KidneyConRegistration/
Email
kwbulloch@uams.edu
with any questions or concerns.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name:
*
Your answer
Last Name:
*
Your answer
Country:
*
Your answer
State:
*
Your answer
Email Address: (This is the email address where the Zoom link will be sent.)
*
Your answer
Degree(s):
*
None
MD
DO
PhD
JD
APRN
Academic Institution or Practice Name:
*
Your answer
Registration Type:
*
Physician
Resident
Student
Fellow
APRN/PA
Other
CE Credit:
*
No CE Credit - $0
CE Credit Requested - $200
Attendance: Please click on every day that you plan to attend any activities.
*
Thursday
Friday
Saturday
Required
In which continent are you currently located?
*
Africa
Asia
Australia/New Zealand
Europe
North America
South America
What is your primary area of clinical interest?
*
Adult Nephrology
Pediatric Nephrology
Pathology
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms