Arkansas Cardiology Symposium

Registration Form

Thank you for your interest in attending the 12^th Annual BHHI Cardiovascular Symposium for the PCP.
Please complete the registration form below. Fields marked with an asterisk (*) are required.

First Name *

Last Name *

Credentials *

If Other was selected above, please specify *

Enter Email (required) *

State *

Your Phone Number *

Format: XXX-XXX-XXXX

Hospital Affiliation

AAFP Credits Needed?

Others/Questions/Comments

Would you also like to receive a printed copy of the presentations?

A digital copy of the presentations will be available to all participants.

If there are any issues regarding filling out the form please email Amy at awyles@arcard.org