Island PoCUS :: Registration Workshop June 22-24, 2018

First Name *
Last Name *
Email Address *
Cell phone number *
Where are you from (CITY / PROVINCE)? *
Are you a medical student or resident? *	YES NO
Have you taken an introductory ultrasound course? *	EDE Course EDTU HOUSE Course Yes - other No, I have not taken an introductory course
If other course, which course?
Did your introductory course above include lung scanning (for pneumothorax and pleural effusion)? *	Yes No NA - have not taken a course before
Do you plan to stay at the course hotel (Best Western Dorchester)? *	Yes No
Where did you hear about this course? *	Referral from a colleague CPoCUS website Email from CPoCUS Email from Island PoCUS Web search Other
If other, where?
Any comments or questions?
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Point of Care Ultrasound Training
Vancouver Island, BC