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Zenith® training

Thank you for your interest in Vista. We look forward to learning more about your interests and experience to help you find a training pathway that meets your needs. This form helps us to better understand your educational interest areas and does not qualify as complete registration for a workshop. Our Vista team members will identify a training pathway to meet your needs and contact you in 3-5 business days.

Please indicate the course are you interested in:

Please fill out the following information. A Cook Medical representative will contact you about placing you in the training session that best suits your needs.

All fields marked with * are required.
E-mail address:* Number of years
in practice:*
Title:*    
First name:* Questions and comments

Where did you hear about this
Vista educational event?
Cook Medical representative
Cook Medical booth at a professional meeting
Cook Medical presentation
Cook Medical website
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Referral
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Other

Last name:*
Telephone:
Profession:*
Clinical Specialty:
Specify, if other:
Do you have residency/fellowship training?*
In what discipline?
Are you currently a resident/fellow?
When will your fellowship/residency be completed?
Country:*
County:
Primary Healthcare Institution:*
Hospital address (city, state):*
Postal or zip code:*
   

How many of the following procedures does your practice perform on a yearly basis?*

What endovascular areas are you specifically interested in learning more about?
(i.e. access techniques, standard case planning, ancillary components of EVAR, iliac preservation, planning and sizing for FEVAR, standard TEVAR or EVAR, etc.) Please be specific, so we know more about your interests going into the course. *


We appreciate your interest in Cook Group educational and training opportunities. We value your privacy and will not share your personal data with any person or business outside of Cook Group companies. If you have expressed interest in a particular event or topic, we will use your personal data only to contact you about that event or topic. To view our company’s privacy policy, go here.

I understand and agree that my personal data may be collected, transferred, maintained, used, and otherwise processed globally by Cook Group companies in order to facilitate participation in selected or future courses.

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