Toxin Academy Courses have been endorsed by WFNR (World Federation for Neurorehabilitation).
Toxin Academy courses are accredited by Swiss Neurological Society.

PRE-REGISTRATION FORM

Name: (As appears on your passport)
Surname: (As appears on your passport)
Title :
Specialty :
Institute :
Country :
Check in Date
Check out Date
Occupancy
Course Date :


  Adult Child
Do you treat Spasticity?
Do you treat Dystonia?
 
  Yes No
Do you have experience on Ultrasound Guidance?
If yes, how many years?
 
  Yes No
Do you have experience on Botulinum Toxin Injections?
If yes, how many years?
 
E-mail :
Phone :
Notes :