Portland Wet Lab Registration

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Friday August 9th to Saturday August 11th, 2024

Submit this form to register for a Manual Small Incision Cataract Surgery (MSICS) Wet Lab session.

You will be notified by phone of the session to which you are admitted.

Name(Required)

Prefix First Last

Email(Required)

Cell Phone(Required)

Medical Status(Required)

Board Certified Ophthalmologist

Resident

Fellow

Session Time Slot First Choice(Required)

Session Time Slot Second Choice(Required)

Session Time Slot Third Choice(Required)

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Yes!

No thank you