USIG Sign Ups 2021
Welcome! We are so excited you are here!

This form is due by Sept 5 at 11:59pm. If you are submitting this form after this date, please email Lizzy Bashian ( so there is no delay in us contacting you.

Due to COIVD-19 restrictions, we are limited in how many people we can accept for each program. Please recognize submitting late means you are not guaranteed a spot.
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Name *
Email *
What is your current year? *
What USIG ultrasound have you completed? *
What ultrasound level would you like to sign up for? *
I would NOT like to participate in Beginner, Intermediate or Advanced Ultrasound this year, but would like to be on the list serv for other USIG events. Check the box below if this describes you.
M1s only: I am interested in joining UCARE.
Clear selection
If you are interested in getting involved in a Community of Practice, what specialty(s) are you interested in?
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