Replacement Registration

For all those who will be attending and working the TOXINS 2022 6th International Conference, all attendees must be fully vaccinated, and show proof of vaccination upon arrival on site in New Orleans in order to attend the conference.

COVID-19 Vaccination Status*

Yes, I am fully vaccinated or will be before the conference.
No, I’m not vaccinated.

On June 11, 2021, The American Medical Association released the results of a survey of practicing physicians that shows that more than 96 percent of surveyed U.S. physicians have been fully vaccinated for COVID-19, with no significant difference in vaccination rates across regions¹. However, due to the current trend in new COVID-19 cases, and in the interest of protecting the health and safety of all those who will be attending and working the TOXINS 2022 North American Regional Conference, we are asking that all attendees be fully vaccinated, and show proof of vaccination upon arrival on site in New Orleans. For more information, please contact Rose Puleo at info@neurotoxins.org.

¹American Medical Association. Physician COVID-19 Vaccination Study (Final Report). June 2021.

Name*

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Full Name of Original Registrant*

Please enter the full name of the colleague you are replacing.

Are you an INA member?

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Yes

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Degree*

Specialty*

Please choose which best describes you...*

Physician
Basic Scientist
Health Care Professional
Industry Representative
Exhibitor
Non-Profit Organization Representative

Institution/Company/University*

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Address*

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Do you wish to attend TOXINS 101?*

No
Yes

This is a four-hour educational event designed as an overview of the use of botulinum neurotoxin in clinical practice. The target audience is clinicians (including those in training) who have relatively limited experience with botulinum neurotoxin, as well as interested basic scientists. This is an introductory program to impart basic knowledge of the clinical uses of botulinum neurotoxin. VIEW DETAILS

By registering for this conference, I acknowledge that I will receive surveys/evaluations at 30-, 60-, and 90-day intervals post-conference to provide feedback regarding its impact on my patient care strategies and outcomes and any recommendations for future educational programs.

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