HCMS East Branch Meeting Registration

We are excited to see you in person at this event.

HCMS East Branch

Earn one hour ethics CME learning about

"2022 Legislative Update"
by speaker Gary Floyd, MD, TMA incoming President and Clayton Stewart,
Vice President of Legislative Affairs, Texas Medical Association

Wednesday, May 4, 2022

Location: Monument inn, 4406 Independence Pkwy, LaPorte (77571)

Event Schedule, Topic and Objectives

6:00 - 6:55 PM - Enjoy Networking with Your Colleagues in Person!

7:00 PM - Ethics CME Presentation:TBD

First Name *

Last Name *

Medical License # * 🛈

Name of Practice

Email Address *

Cell Phone Number 🛈

How will you be attending? *

I will be attending in person

Please select the appropriate registration type below. *

Pre-Paid Branch Member (subject to verification) ($0.00)

1st/2nd Year in Practice, New Member, Under 35 Years, Medical Student (subject to verification) - Complimentary

Pay 2022 Branch Assessment (includes three 2022 mtgs) ($50.00)

This Meeting Only Fee ($40.00)

Non-HCMS Member Fee ($100.00)

Dietary Restrictions - Please note your selection cannot be changed once registration has been completed. *

No Dietary Restrictions

Vegetarian Meal

Vegan Meal

List any dietary restrictions below List any dietary restrictions below

Are you bringing a non-physician guest? If so, the $40 guest fee must be paid at time of registration. * 🛈

Yes

Please list guest first and last name (as it should appear on the name badge).

Guest Dietary Restrictions - Please note your selection cannot be changed once registration has been completed. *

No Dietary Restrictions

Vegetarian Meal

Vegan Meal

List any dietary restrictions below List any dietary restrictions below

Commercial Sponsors

Kelsey-Seybold Clinic, Gold Level, Friend of the Society

UT MD Anderson Cancer Center, Silver Level, Friend of the Society

Please be aware, in order to participate in HCMS in-person events, we require all attendees to have an up-to-date COVID vaccination. Your attendance personally attests to your agreed-upon, up-to-date COVID vaccine status. There is no need to supply proof of vaccination. For members who are not up-to-date, please check to see if a virtual option is available.

Contact Information

Jessica Smith, jessica_smith@hcms.org

713-524-4267, ext. 234

Harris County Medical Society

IMPORTANT - Your registration is not complete until your payment is processed, if applicable, and you receive an email stating your registration was successful. Select next to complete your registration process.