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Registration

Step 1 of 3: Personal information

 


Hospital address

 


Home address (optional)

 
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Step 2 of 3: References

 
Reference 1
 

Reference 2

Step 3 of 3: Other information

 

Specialty accreditation for appropriate geographic region

 


Membership in national society of neuroradiology, or neurosurgery, or equivalent:

 


Applicants must include information about their diagnostic/neurosurgery training

 


Neuroradiology / interventional neuroradiology / other training