EUROPREV e-Learning Webinars registration
Registration and attendance of this medical education activity are free.
By writing your e-mail and other data in this form, you confirm that you give your consent to EUROPREV to communicate with you by e-mail (by direct e-mail or other e-mail management tools such as MailChimp ). EUROPREV undertakes that it will never transfer your data to third parties.
Email address *
Your name: *
Your answer
Your country: *
Your answer
Your place of work: *
Your answer
Your professional situation: *
Required
Your main medical specialty: *
Required
Please make sure you have written your email and your name correctly!

Your email and your name are vital to all communication regarding these webinars and also to the sending of the Final Certificate, after Module 6.

Once you submit this form, you will receive a Google Forms confirmation email. Please do not submit this form in duplicate.

Please keep Google Forms confirmation mail as it will serve as proof of your application.

A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.