Chiropractor Registration

The Diagnosis and Treatment of Disorders of the Upper and Lower Extremity

Registration Form for September 26, October 17, and October 23, 2019

Please complete the following registration form.

When you have completed filling it out, you can:

  • Register Online – Press the submit button. If you are registering more than one person, you will need to fill out the form multiple times.
  • Register by Mail – Do not press the submit button. Instead, print out this page and mail to: Illinois Sportsmedicine, 1714 N Milwaukee Ave, Glenview, IL 60025. Please fill out a separate form for each person attending the seminar.
  • Register by Phone – Call us at 847-699-6810 X207 to register by phone. We will need to know the information that is listed in the form below.
  • American Academy Regenerative Medicine
  • American Academy and Board of Regenerative Medicine
  • American Orthopaedic Society for Sports Medicine
  • isakos
  • Rush University Medical Center
  • American Association of Nurse Anesthetists
  • American Academy of Orthopaedic Surgeons
  • European Society of Sports Traumatology, Knee Surgery Academy
  • International Cartilage Repair Society