Title of the event*
Start of the event*
End of the event*
Time of day
Venue*
Type of event Select type of eventOn siteOnlineHybrid
Topic
Registration (external link)
Details
PDF-Upload*
The submission of the event program is mandatory. max. 7MB
Naming of the individual pain-related lectures (incl. duration of the individual lectures):*
Website of the event
Desired number of credits
Indicate how many hours are "pain-related" or how many hours/credits you would like to be credited.
45 min => 1 Credit (half credits will not be awarded).
The event is evaluated by the participants
The event has a title and is thematically structured
The organizer is a medical professional, institution or professional society or an organization with a teaching assignment in medically relevant topics
Sponsoring (no mono-sponsoring)
If sponsoring, name them
Salutation*Mrs.Mr.
Acedemic title
First name*
Surname*
Clinic/Office/Company
Phone number
E-mail*
Acedemic titel
First Name*
Adresse
ZIP Code
City
I hereby confirm that I have entered all details correctly.*
I have read the privacy policy and accept it*
*Fields are mandatory and must be completed.