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Registration Form

Registration for The Intersection of Specialties and Geriatrics: Commitment to the Same Goal is free of charge. Space is limited and we strongly encourage you to register in advance. To register, please complete this form and fax to: Rachael Edberg Silverman at (212) 832-8646

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  I would like to join the Section for Surgical and Related Medical Specialties

  I would like to be placed on the mailing list for information about the Geriatrics for Specialties Initiative