Registration Type * - Select -Optum ClientOptum EmployeeNUATC EmployeeHospital/Clinic/Private PracticeVendors/IndustryOther Other Organization Type (e.g. Health Insurance, TPA) * First Name * Last Name * First Name Preferred on Badge * Credentials for Name Badge (e.g. MD, RN) Clinician Type * Physician Non-Physician Degree * Hold down the control (ctrl) key while clicking to select more than one choice. AASASANBABSDOMDMSMSWNPPAPCPPharmDPhDRNRPhOther Area of Practice * - Select -PhysicianPhysician AssistantNurseNurse PractitionerManaged Care NurseCase ManagerTransplant CoordinatorPharmacistPsychologistSocial WorkerNA Specialty * Hold down the control (ctrl) key while clicking to select more than one choice. Allergy/ImmunologyAnesthesiologyCardiologyCritical CareDermatologyDiabetes & EndocrinologyEmergency MedicineFamily MedicineGastroenterologyGeneral SurgeryGeneticsGeriatricsHematology/OncologyHepatologyHIV/AIDSHospitalistInfectious DiseaseIntegrative MedicineInternal MedicineMedical StudentNeonatologyNephrologyNeurology & NeurosurgeryNurse PractitionerNursingNutritionObstetrics/GynecologyOccupational MedicineOncologyOphthalmologyOrthopedicsOsteopathic MedicineOtherPathologyPediatricsPharmacyPhysician AssistantPsychiatry & Behavioral SciencesPsychologyPublic Health & PreventionPulmonary MedicineRadiation OncologyRadiologyRadiology-Nuclear MedicineRheumatologySleep DisordersSocial WorkSports MedicineSurgeryTransplantUrologyWomens Health Title/Position * Company * Address * Address 2 City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip/Postal Code * Phone (e.g. 555-555-5555) * E-mail * E-mail Confirmation * Alternate E-mail Requesting CME/CE Credit * Yes No How did you hear about this conference? * E-Mail from OptumHealth Education E-Mail from NUATC E-Mail from another organization Web Colleague or Friend If you have special accessibility, accommodation or dietary needs, please describe Add to our e-mail list * The information you provide will be listed and supplied to our program sponsors. If you would not like to have your information listed, click the "Please do not list my information" button. You may list my information. Please do not list my information. I will attend Tuesday, June 11, 2013 * Yes No Tuesday, June 11, 2013 * 8:00 AM – 12:15 PM General Session 12:15 – 1:30 PM Lunch (provided) 1:30 – 5:30 PM General Session I will attend the Facility Tour (5:30-6:30 p.m.) * Yes No I will attend Wednesday, June 12, 2013 * Yes No Wednesday, June 12, 2013 * 8:00 AM - 12:15 PM General Session 12:15 – 1:30 PM Lunch (provided) 1:30 – 5:30 PM General Session Payment Type * - Select -Credit CardCheckValue Code Value Code * Please enter your Value Code and press submit to complete your registration. Payment Amount * $50 Payment Amount * $0 Leave this field blank