OU Cataract Academy Course Registration Form
Email address *
First Name *
Last Name *
Address *
City *
Country *
Phone # *
Age *
Did you complete an ophthalmology residency? *
Name of Ophthalmology Residency *
City of Ophthalmology Residency *
Country of Ophthalmology Residency *
If so, Year you graduated from Ophthalmology residency *
Have you performed phaoemulsification surgery before? *
Number of Phaco surgeries made *
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