Registration form

 

 

Inscription form

«International Convention 2017»
Work title:
Names of the authors (up to 5): 1.
2.
3.
4.
5.
Email: Contact phone:
Institution: Country:
Quality of participation as: Delegate ____                   Participant ___
Modality proposed:   Conference ___     Electronic Poster ___         Cartel ___     Free Theme ___            Round Table ____   Video conference___
Corresponding specialty :
Lounge where you want to place this work: (mark with an x)
____ Intensive Medicine and emergencies____ Nephrology____ Cardiology____ Natural and Traditional Medicine____ Neurology____ Dermatology

____ Internal medicine

____ Maxillofacial surgery

____ Pathological Anatomy

____ Microbiology

____ Transfusional Medicine

____ Clinical Laboratory

 ____ Ethics and History of the medicine____ Medical Teaching____ Aging____ Urology____ Cosmetic surgery and burns____ Neurosurgery

____ Anesthetics

____ Orthopedics

____ General Surgery

____ Otorhinolaryngology

____ Medical technologies

 ____ Nursing
Structured abstract (250 words):

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Note:
The Scientific Committee of the event reserves the right to accept and schedule conferences in correspondence with the number of jobs and availability of time in the program. You will be notified in advance about it. Send mail form to congresocg@infomed.sld.cu