FELLOWS COURSE REGISTRATION - Canadian Association of Interventional Cardiology

First Name *

Last Name *

Institution *

Email *

Phone *

Year of Fellowship

Which Days Are You Planning to Attend the Course?

I acknowledge that a complications case must be submitted and presented as a condition of course participation. Using a provided template, case presentations will be sent to Dr. Matt Sibbald two weeks prior to the course date.

What case complication do you intend to present?