Get Northern New England Geriatric Education Center - Dartmouth ...

This guide provides you with clear and step-by-step instructions on how to complete the Northern New England Geriatric Education Center registration form online. Whether you are a seasoned healthcare professional or new to the field, this guide aims to support you in successfully submitting your registration.

Follow the steps to complete your registration online.

1. Click the ‘Get Form’ button to access the registration form and open it in your preferred editor.
2. Begin filling out the personal information section. Enter your name and degrees or licenses (e.g., MD, RN, PA) clearly in the designated fields.
3. Continue by entering your job title and your affiliation in the respective fields. This information helps establish your professional background.
4. If applicable, provide your specialty and department information to assist in tailoring the event to your interests.
5. Fill in your work address, ensuring that the details are accurate to avoid any communication issues.
6. Indicate your daytime phone number, selecting whether the number is a work or home number, as this helps facilitate contact.
7. If your mailing address differs from your work address, fill in the mailing address section accordingly.
8. Provide your email address, as this is required for confirmation of your registration.
9. Choose two breakout sessions that you would like to attend by checking the appropriate boxes next to your selected options.
10. Note the registration fee of $35. Prepare your payment method as necessary. If you are sending a check, ensure it is made payable to Dartmouth College.
11. To finalize your registration, fax your completed form to 603-653-3494 if your institution is covering the fee. Then, proceed to mail your payment, making sure it arrives before the registration deadline on April 5, 2012.
12. After submitting your form and payment, be sure to save a copy for your records. You may also download or print the completed form if needed.

Complete your registration online today to secure your spot at the event!