Continuing Ed: Internal Medicine Round Table Registration

Continuing Education > Internal Medicine Round Table Registration

You will receive a confirmation email or call within 24 hours from the receipt of your registration.

* indicates required

Hospital Name *

Address *

City *

State * Zipcode *

eMail *

Phone *

Fax

Case Doctor *

Owner's Name *

Patients Name *

Brief Case History *

Roundtable Date Attending *

PLEASE SUBMIT ALL PERTINENT CASE RECORDS FOR REVIEW

All cases should be submitted via email to gcarastro@vmcli.com at least 72 hours before the scheduled round table. You are limited to one case per Veterinarian. If you should have any questions or need assistance in transmitting your documents, please don’t hesitate to call.

Total Pages Submitted:

Diagnostics submitted for review:

Histopath Results
Radiographs:    Number of Views
Labs
Ultrasound Study:    Description
Other:    Description

Leading Long Island Veterinarians in Referral Medicine 24 Hour Specialty & Emergency Services 75 Sunrise Hwy, West Islip, NY 11795-2033

Continuing Ed: Internal Medicine Round Table Registration

PLEASE SUBMIT ALL PERTINENT CASE RECORDS FOR REVIEW

Leading Long Island Veterinarians in Referral Medicine
24 Hour Specialty & Emergency Services
75 Sunrise Hwy, West Islip, NY 11795-2033