Otolaryngology Head & Neck Surgery

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Registration for the Langmore Foundation FEES® Course

 
Yes, I want to attend the Foundation FEES Course,
I am registering for the course on the following dates
(choose one)
 
       June course has been filled/closed.         


 
   *   Indicates required field
 
   Name/ Title
   Affiliation/ Department
   Work Address
   City/ State/ Zip code
   Home Address
   City/ State/ Zip code
   Phone
   Fax
   * Email
(*Communication with the participant will be via email)
 
This registration form should be completed and returned with your check.
 

 Registration Fees

 
Please make your check payable to “BUMC Otolaryngology Speech & Swallowing” for the Foundation FEES Course - $600.00. If more than one attendee comes to the same course the rates are as follows:
 
2 Attendees $550.00 each
3 Attendees $500.00 each
4 Attendees $450.00 each
 
The cost for registration includes materials, breakfast and lunch.
 
   One Day Advanced Course   $300.00 each
 
   Advanced Course Overview and Agenda
 
Please make your check payable to “BUMC Otolaryngology Speech & Swallowing”.
 
Send your Check (sorry, no credit cards or invoices available at this time) and this registration form to:
 
Boston Medical Center
Dept. Otolaryngology
Attention: Marguerite Belmonte
820 Harrison Ave
FGH Building, 4th Floor
Boston, MA 02118
 
 
This program is offered for 1.35 CEU’S (Intermediate level; Professional area)
 
  
   THE INTERNET IS NOT SECURE ─ WE HIGHLY RECOMMEND AND ADVISE YOU NOT TO PROVIDE ANY CONFIDENTIAL
OR SENSITIVE INFORMATION OVER THE INTERNET. IF YOU CHOOSE TO DO SO, IT IS AT YOUR OWN RISK. ANY
UNLAWFUL OR CRIMINAL CONTENT PROVIDED, WILL BE SUBJECT TO LAW ENFORCEMENT REVIEW.
 
 
 

Errors With Submission:

Appointments

Boston Univ. Otolaryngology Head & Neck Surgery ZocDoc

For Select Providers
More Information


Call: 617.638.8124
Fax: 617.414.4953


Boston Medical Center
Otolaryngology – Head & Neck Surgery
Moakley Building
Ground Floor
830 Harrison Avenue
Boston, MA 02118


Refer a Patient

Call: 617.638.8124
Online Referral Request Form


Learn More

Quick Links

American Academy of Otolaryngology
BMC Campus Virtual Tour
Center for Voice & Swallowing
Directions to BMC
Facial Plastic & Reconstructive Surgery
Melanoma Program
Otolaryngology Newsletter-SCOPE (PDF) 
Skull Base Surgery

Downloads (PDF)

BMC Campus Map
What Makes BMC Special


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