Applications for Prolo Physicians, Vein Physicians and Non-Physician Volunteers

Prolotherapy Application Prerequisite for Physicians: Attendance at the prolotherapy conference in Madison, WI, within the last five years.

Deadlines for new and returning physicians (All deadlines are at 11:59 EST)

  • Early Registration Application: December 15, 2017
  • Early Registration Fee: December 31, 2017
  • Late Registration Application: January 1, 2018
  • Late Registration Fee: January 15, 2018

FEES

  • Fees can only be paid after review and acceptance of your application. You will receive notice of acceptance through your online login and/or by email.
  • If all fees are not paid by January 15, 2018 your spot will be forfeited.

 

Prolotherapy Application for Physicians (see prerequisite above)

Vein Application for Physicians

Application for Non-Physician Volunteers