Training Registration - Physicians Discseel

Discseel® Institute Physician Lumbar Training

February 2025

Step 1 of 4

25%

Suffix(Required)

Physician Name(Required)

First Last

Physician Email(Required)

Phone(Required)

Practice Name(Required)

Practice URL:(Required)

Admin Email to be CC'd on correspondence

Please note any food allergies/diet restrictions

Physician Accommodations

Hotel Room Accommodations Needed?(Required)

Arrival Date (checkin)(Required)

Departure Date (check-out)(Required)

Staff Info - Please complete this information if a member of your staff will be attending the training.

Staff Suffix

Staff Name

First Last

Staff Title(Required)

Staff Email(Required)

Please note any food allergies/diet restrictions - Staff

Hotel Room Accommodations Needed for the Staff Member?(Required)

Staff Arrival Date(Required)

Staff Departure Date(Required)

Additional Information

Hotel Accommodations

After you submit your registration form, Franca Gerada, the Training Manager, will secure hotel accommodations for you and your staff. For reference, here is the hotel information:

The Ritz-Carlton Dallas Las Colinas

4150 N. MacArthur Boulevard

Irving, Texas 75038

Phone: (972) 717-0700

The Ritz-Carlton Dallas Website

Valet Parking is Complimentary

Check-in is at 3pm and check-out is 12pm

Airport and Ground Transportation

We do not arrange for air travel or ground transportation. You must secure your flight reservations and ground transportation to the hotel.

The closest airports are:

Dallas Love Field (DAL / KDAL)
Dallas/Fort Worth International Airport (DFW / KDFW)

Additional Information

For the training presentation the dress is business casual.
Note that surgical scrubs will be provided for the lab simulation portion of the training.
To secure your spot, please be advised that seats are limited, and registration is not considered complete until tuition payment is received. A payment link will be sent after you submit your reservation.

To secure your spot, please be advised that seats are limited, and registration is not considered complete until tuition payment is received. A payment link will be sent after you submit your reservation.

There is no scheduled event for the evening of Friday, February 14 ^th.

Name

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