2023 PCOOS Online Registration

Please fill out the form below and submit payment below to register for the 2023 annual meeting June 22-24, 2023.

If you’d like to pay by check please fill out the word <Document> here
If you’d like to pay online, please select the payment options below and fill out the following registration form.

Note: Registration fee includes continental breakfast, refreshment breaks daily, Thursday’s President’s Welcome Reception, and PCOOS membership.

Additional tickets for meals and for the President’s Welcome Reception are available for purchase. Please contact Thelma de Souza at thelma.pcoos@gmail.com for more information.

2023 PCOOS Registration Form

Name

Phone

Address

Specialty

Ophthalmology

Otolaryngology

Are you a PCOOS member?

Yes

If you are not a PCOOS member, would you like to join?

Yes, please!

No, thank you

Maintenance of Certification?

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn their required annual part II self-assessment credit in the American Board of Otolaryngology – Head and Neck Surgery’s and the American Board of Ophthalmology’s Continuing Certification program (formerly known as MOC). Would you like credit to be reported to the American Board of Ophthalmology or the American Board of Otolaryngology? If yes, Thelma DeSouza will give you a form to fill out at the conference.

2023 PCOOS Online Registration

2023 PCOOS Registration Form

Pacific Coast Oto-Ophthalmological Society