Get Clinical Update For The Comprehensive Ophthalmologist - Ttuhsc

Filling out the Clinical Update for the Comprehensive Ophthalmologist form is an essential step for those looking to enhance their medical education. This guide will provide you with a clear, step-by-step process to complete the form effectively and efficiently.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out your last name, first name, and middle initial in the corresponding fields. This information is vital for the registration process.
3. Enter your highest degree attained in the provided field. This helps in identifying your professional qualifications.
4. Input your last four digits of the Social Security Number (SSN) in the designated section, which is required for registration verification.
5. Fill in your telephone number, ensuring it is a valid contact number for any communication regarding your registration.
6. Specify your specialty in the relevant field to provide context for your participation in the conference.
7. Provide your email address accurately. This will be used for sending confirmation and any updates regarding the conference.
8. Indicate the facility in which you practice. It is essential for statistical reporting.
9. Choose your title (e.g., TTUHSC Faculty, Resident, Alumni) from the options available.
10. Accurately fill out your street address, city, state, and zip code. This information is required for any further correspondence.
11. State your county in Texas to aid in demographic assessments.
12. Enter the registration fee of $150.00. Ensure that the payment method is selected (check or credit card).
13. If paying by credit card, fill in the cardholder's name, card number, expiration date, and provide a signature.
14. Once all fields are completed, thoroughly review the entire form for accuracy before submission.
15. Save your changes, download a copy for your records, and either print or submit the form electronically as instructed.

Begin filling out the Clinical Update form online to enhance your professional development in ophthalmology.