Brussels Sonographically Guided Upper Limb Surgery course Registration Form

Your Last Name (required)

Your First Name (required)

Nationality (required)

Your Email (required)

Confirm your Email (required)

Phone Number (required)

Hospital (required)

Fields of interest in orthopaedics:

Level in Sonography

Number of diagnostic sonography already performed (required)

None<1010 to 20>20

Number of interventional sonography already performed (required)

None<1010 to 20>20

Procedures you would like to do during the BSGULSC