2016 Ophthalmology White Coat Day at the Legislature presented by NCSEPS and NCMS

Sign up for the 2016 Ophthalmology White Coat Day scheduled for Tuesday, May 17.

Sign up now to participate in the 2016 Ophthalmology White Coat Day scheduled for Tuesday, May 17. Ophthalmologists from across the state will gather in Raleigh to advocate for Certificate of Need reform and other important policy issues impacting your practice and patient care. There is no fee to participate. Practicing ophthalmologists, practice managers, retired physicians, residents and fellows-in-training are invited to participate. Complete this sign-up form to participate on May 17, or to indicate another date that would work better for your schedule.

The schedule runs from 7:30 am to 1:00 pm (lunch is provided). Following a legislative briefing at the NC Medical Society, participants will meet with legislators and attend legislative committee hearings at the NC General Assembly. We’ll have you on the road home by 1:00pm (earlier, if necessary).

This event is jointly presented by the NCSEPS and the NC Medical Society.

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* 1. I will participate on:

Tuesday, May 17

I am not available at that time. This is the date that works for me:

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* 2. Contact Information

Name

Home Address

City/Town

ZIP/Postal Code

Email Address

Cell Phone Number*

* Your cell phone number will be used to communicate any last minute schedule changes on the day of the meeting. Your meeting schedule will be subject to change right up to the very last minute due to the fluid environment at the legislative building.

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* 3. Please indicate any dietary restrictions, schedule limitations or other requests:

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* 4. Current residents and fellows-in-training, please indicate your academic institution:

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* 5. Practice managers, please indicate the name of the practice where you work:

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* 6. Local Meetings

I would like assistance coordinating local meetings with legislators.

Thank you for your participation and support of NCSEPS! To make changes to your registration, please contact NCSEPS' Denna Suko at dsuko@ncmedsoc.org or 919-833-3836.