Registration Form
Join SurgeonMasters and Physician Coach, Jeffrey M. Smith, MD, FACS, CPC, for SurgeonMasters Physician Coach Training, starting February 4, 2021.

Early Bird Rate (Now until January 14, 2021): $4,995
Standard Rate (Starting January 15, 2021): $5,995
Individual Module Rate: $795
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Email *
Name *
Email *
Degree *
Phone *
Full Coach Training or Individual Module * *
I agree to the terms and agree to pay the invoice for registration. *
A copy of your responses will be emailed to the address you provided.
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