CU Health Lab 12.02.2025

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

Dietary restrictions

Hotel reservation

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

Yes

How would you rank your ultrasound skills:

Beginner

Intermediate

Expert

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

Name

Breadcrumb