OHSAM Annual Meeting

Ohio Society of Addiction Medicine Annual Meeting

Friday, October 16, 2020

Please provide the information below and submit. This registration is for physicians/clinical staff only. Pharmaceutical companies/vendors may register only as an exhibitor/sponsor - NOT here.
Prefix
First Name
Last Name
Designation (MD, DO, RN, CPC, none, etc.)
Job Title
Organization
Address
City
State Zip
Specialty
Email
Registration options:
OHSAM Membership will be verified. If membership is not current for the 2020 calendar year, you will be contacted with instructions on ASAM/OHSAM membership and/or for payment.
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