Scientific Program featuring Paul Brinich, PhD

Your Registration Info

First Name *

Last Name *

Email Address *

Phone *

Street Address *

City *

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Postal Code *

Country

Registration Fee

Please select the fee level that best reflects your current circumstances.

PCC Members - $ 0.00

Graduate Students/Residents - $ 0.00

Lucy Daniels Staff - $ 0.00

Reduced Rate (early career clinicians, financial hardship, etc.) - $ 60.00

Sustainer Rate (pays for you) - $ 100.00

Supporter Rate (supports others as well as yourself) - $ 150.00

Total

CE/CME Information

Continuing Education Credit *

Hybrid Registration

Hybrid Attendance *

I will attend in person

I will attend via Zoom