Registration Form

Phlebology Training Sessions

First name:*

Last name:*

Role:

E-mail:*

Retailer name:*

medi customer number:

Retailer address

Representative name (please fill your representative name if available):

Street:

City:*

Province:*

Postal code:*

Phone:*

Topic*

Desired dates (please pick 2 dates):*

Please note that this is East time zone.

I consent to the use of my personal data for processing my enquiry in compliance with the privacy policy. I am aware that, depending on my country of origin and my enquiry, my data will be forwarded to other medi offices or medi agents, in order to answer my enquiry.

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The medi Fitter Phlebology Certification Program contains 2 parts:

Part 1: is an online training session.
Part 2 : will be fulfilled by your representative.

Your representative will contact you to set your 2nd appointment. You must complete both sessions to obtain this certification.

Information on the session:

Part 1 is a 1.5-2 hours online and live virtual session given by one of our Education Specialists.
A computer and an internet connexion is required for all virtual training sessions.
A link to enter the Zoom conference will be shared with you at a later time.
Sessions are booked and offered based on the availability of the Education Specialist and Representative. Dates may change with notice. When choising a choice of date option, make sure dates 1 and 2 are all possible for the registrant. Please advise us by email as soon as possible if you can't attend.
Only once the registration information has been reviewed and approved, the registrant will be contacted and receive the information to log-on to the session.
Successfully completing and filling the form is not considered as a confirmation to participate.
By registering, you submit your information to the webinar organiser, who will use it to communicate with you regarding this event and their other services.
Information on how to join the trainig session will be sent in the confirmation email.
invitations to training sessions cannot be transfered to anyone else. Participants must be fully registered prior to joining the educational and/or training sessions.
Registrations must be made, reviewed and approved at least 24 hours before the start of session.