Houston Elective Rotation - Registration Form
This is the Registration Form for the Elective Rotation at the Heart & Vascular Institute at Memorial Hermann Hospital in Houston under the mentorship of Dr. Igor D. Gregoric.
Expect a response from MMSA in the next 72 hours to confirm your registration. During this period cancellations are still possible at
. After we confirm your registration it is final and no further changes are possible. Please be 100 % positive that you can attend the elective on the desired date before registering.
IMPORTANT: Make sure to consult the listing of vacant spots before submitting your registration. If you register for an occupied spot, your registration will be discarded without further notice. The listing is available at
Please make sure to also read all the materials available at
before submitting your registration.
Your full name
Phone number with international dialing prefix and without spaces (e.g. 0038631726221)
Medical Faculty at University of Ljubljana
Medical Faculty at University of Maribor
Mark the program that you wish to attend. You can also request to participate in both programs.
Cardiology (Internal Medicine)
Month of rotation
Select the month when you wish to participate in the rotation. If you're applying for a double rotation, select the first month. In case there are no vacancies we will try to arrange for a different slot.
If you have any further questions or remarks feel free to ask and we'll address them in our response. Be sure to read all the publicly available materials on the web page beforehand.
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This form was created inside of Društvo študentov medicine Maribor.