PCI21 - Registration Form: September 2021 (Virtual)

Registration Form for Precision PCI Archives
If you have already registered to view the archived Precision PCI content, please click here. Please reference your confirmation email for the password.
The Precision PCI program was a detailed course on coronary imaging, physiology, and techniques of complex PCI that took place September 10-11, 2021.

The program includes lectures from US and international experts, case examples, and a live case transmission from St. Francis Hospital in NY. Please complete and submit the form below to register to view the archived video. A confirmation email will be sent to the email address provided below.
Name*
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Degrees/Credentials
Enter the degrees/credentials you would like to appear on your name badge.
Salutation*
Your Medical Specialty*
Email Address*
Registration and symposium communication will be sent to this email address.
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Hospital/Affiliation*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
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How did you hear about the program?*
- Email marketing
- My Philips Representative
- Wondr Medical
Philips Representative Name
Please enter the name of your Philips representative. If you do not currently have a Philips representative, please note that you may be contacted by a representative in your area.
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Registration Form for Precision PCI Archives