HOW TO REGISTER:

You may register on-line.

Registrations can also be mailed to Meeting Achievements, 232 E 500 N, Valparaiso, IN 46383. Please make all checks payable to Meeting Achievements. If registering for both events, please include separate checks.

Please only use this form if paying by check. Please check which conference you are paying form.
Name *
Name
Please Specify
Address
Address
Your CME certificate will be mailed to this address
Daytime Phone
Daytime Phone
Fax
Fax
* Please note that participants will have their contact information shared with the Society of Hospital Medicine after the event. If you do not wish to have your information shared please check below.


If you wish to learn more about SHM go to www.joinshm.org