Survey

You are in the right spot to register for the free Cardio-Renal-Metabolic/Endocrine Assembly - CaRMA. Before you register below, we would like to know a little about you and request your input on some initial survey questions that will help us make sure that the Assembly addresses the issues and concerns that are most important to you.

What is your practice setting?

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Select...

If you selected, "Other," please explain.

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Your practice concentration

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Select...

If you selected "Other," please provide details

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Areas of concern/disease states you most hope are addressed at CaRMA

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If you selected "Other," please note your other topic in the text box below.

[ Required ]

How many patients do you see per month with...?

Obesity

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Select...

Cardiovascular Disease

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Select...

Thyroid Disorders

[ Required ]

Select...

Type 2 Diabetes

[ Required ]

Select...

Type 1 Diabetes

[ Required ]

Select...

Hyperlipidemia

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Select...

Kidney Disease

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Select...

Osteoporosis

[ Required ]

Select...

MASH/MASLD

[ Required ]

Select...

Now on to the actual registration...

First Name

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Last Name

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Title

Degree/Designation: I am a(n)...

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Cell Phone

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Your Email Address

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Location where you practice?

State

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Select...

City

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Zip Code

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Please indicate your awareness of the following by selecting "Yes" below to show your approval.

We will be taking screenshots during the Assembly to share with the event supporters in our outcomes summary. Do you give permission for us to do so? We can't cut you out individually, so YES is the only option for attendance.

[ Required ]

If you attend a sponsored presentation theater (and we REALLY HOPE YOU DO!!), will you allow us to share your contact information with the sponsoring company?

[ Required ]

Select...

Your contact for the Assembly is Nora Williams of Primary Care Education Consortium (nwilliams@pceconsortium.org, 704-752-0257). Please add her email to your contacts now so our updates don't end up in spam!

Thank you so much for registering. We will be following up with you soon with more information. We have a great event planned for you!

If you attend one of our auxiliary events, limited information will be shared with the exhibitor (name, city, state, zip, degree). These theatre events make it possible for us to offer this event free of charge, so please attend!

CaRMA Registration