Trauma Symposium Registration

Friday, April 21, 2017
7:00am - 5:00pm

Williamsburg DoubleTree by Hilton
50 Kingsmill Road,
Williamsburg, Virginia 23185

Sponsored by:
Riverside Regional Medical Center’s
Department of Medical Education

**Note: required fields are in bold.

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Your Name



Street Address

City State Zip Code
Day Phone Evening Phone

E-Mail Address

Select one:
Physician $150
Nurse Practitioner/Physician Assistant $120
Nurse/Allied Health/EMS $90
FT Medical/Nursing Student/Resident $50


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Riverside Regional 29 minutes
Walter Reed 4 minutes
Tappahannock 4 minutes
Shore Memorial 17 minutes
Doctors' Hospital no waiting
Updated: 2:00 AM on 4/26/17