Attendee Registration Contact InformationName* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number*Email* Please use an email address that you check frequently.RegistrationSelect Attendance Format*Select OneIn PersonLivestreamProfession*Select OneMDDOPANPPharmacistNurseMedical AssistantLPNTechnicianFull-Time Student/Resident in TrainingOtherPlease Enter Your Profession* Select Attendance*Select One2 Day: $3001 Day: $170Select Day of Attendance*Select OneFriday, September 8Saturday, September 9Select Attendance*Select One2 Day: $2001 Day: $125Select Day of Attendance*Select OneFriday, September 8Saturday, September 9Select Day of Attendance*Select One2 Days: $100Friday, September 8: $100Saturday, September 9: $100Students must have a letter from medical/nursing school faculty and not be currently workingHiddenMeet the Experts Workshop Discussion Groups (Choose up to one per day)Registration for workshops is optional. Free for registered attendees. Space is limited on a first-come-first-served basis. Must pre-register when submitting payment. Friday, September 9 | Workshop A: Immunization Challenges with Dr. Shireesha Dhanireddy Friday, September 9 | Workshop B: Public Health Grand Rounds with Dr. Scott Lindquist Saturday, September 10 | Workshop C: ENT for Primary Care Providers with Dr. James D. Smith Saturday, September 10 | Workshop D: Alzheimer's disease with Dr. Sindhu Srivastal Saturday, September 10 | Workshop E: Common Youth Sports Injuries with Dr. Kyle Nagle Saturday, September 10 | Workshop F: The Young Heart... Common Complaints and When to Worry with Dr. Eddie Hulse PaymentAmount Due $0.00 Payment Method*Select OnePay by Credit CardCredit Card* Card Details Cardholder Name An electronic receipt will be sent to the email address you entered above after payment. Please make check payable to WNIM or What's New in Medicine. Mail your check to: What's New in Medicine 176 Kentwood Court Richland, WA 99352