Birmingham Regional Lab 03.21.2026

Registration Type

First name

Last name

Title

Other

If Other, please specify

Phone

Primary specialty

If Other, please specify

NPI (National Provider Identifier)

Clinic/Hospital

Clinic/Hospital Address

Address

City

State

ZIP/Postal code

What topics are you most interested in learning during this training lab?

Have you implanted a SPRINT before?

Yes

If yes, about how many?

Dietary restrictions

Hotel reservation

Would you like a hotel room reserved for you the night before the event?

Yes

If you work closely with a NP or PA that would benefit from attending one of our training events, please provide their name & email address below.

Name

Birmingham Regional Lab 03.21.2026

Breadcrumb

Please register for our Birmingham Regional Lab

Work closely