Request a 30-minute appointment to meet HUGO in the Medtronic Booth during the Canadian Surgery Forum (CSF)

* Access is limited to healthcare professionals. Medtronic is collecting this information to validate that you are a healthcare professional. If you have selected “I am attending with a colleague”, you confirm you have obtained consent from your colleague to provide their information to Medtronic.

Your Details

First Name*

Last Name*

Email Address*

Hospital Affiliation*

Specialty*

Are you trained in RAS (Robotic Assisted Surgery)?*

Yes

If yes, where and when did you do your training?

Do you currently perform RAS (Robotic Assisted Surgery)?*

Yes

Do you have any specific questions you are looking to have answered?

Colleague's Details

Colleague's First Name*

Colleague's Last Name*

Colleague's Email Address*

Colleague's Hospital Affiliation*

Colleague's Specialty*

Is your colleague trained in RAS (Robotic Assisted Surgery)?*

Yes

If yes, where and when did your colleague do their training?

Does your colleague currently perform RAS (Robotic Assisted Surgery)?*

Yes

Preferred Time

Please indicate your 1st, 2nd, 3rd preference.

1st Preference*

2nd Preference

3rd Preference

If you selected other, please specify here:

See CSF Program

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