Leeds Cadaver Workshop 19th and 20th September 2024

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First Name

Address *

Country

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Place of Work *

Job Title *

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Dietary Requirements *

Important- Answer all questions - Medical Degree: *

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Grade: *

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Percentage interventional pain medicine practice *

Number of years in Pain Medicine *

Kindly tick the procedures that you are comfortable in performing *

Sympathetic blocks

Disc procedures

Vertebral Body procedures