Willingness to Participate Form 62nd Annual Spring Meeting - 2022April 28-30, 2022Virtual - On Demand • Carlsbad, CA WILLINGNESS TO PARTICIPATE FORM WP FORM FOR: Amit Patel, MDIf you are not Amit Patel, MD click here | Return to Faculty Forms. Contact Information Required fields are marked with an "*". Name: Amit Patel, MD Academic Title:* Academic Institution:* Academic Institution City/State: Preferred Mailing Address:* Phone Number: Fax Number: E-mail Address:* Admin Assistant Name: Admin Assistant Phone: Willingness To Participate/Adherence To Deadlines I have read the Willingness to Participate information below. These assignments have been made as a result of an invitation to perform the duties as a faculty member for the above-captioned meeting. Please indicate your participation in the following lectures, workshops, case discussions, and/or as moderator as outlined in the lecture schedule. Participation Date Lecture Title I will be lecturing: In-person Virtually I am pleased to participate in all lectures, workshops, case discussions, and/or as moderator as outlined in the lecture schedule. I will participate in this lecture I must decline this lectureSat, Apr 30, 2022 Anterior and Lateral Lumbar Fusion I will participate in this lecture I must decline this lectureSat, Apr 30, 2022 Lumbar Case Presentations and Debate I agree to adhere to all deadlines outlined in my faculty letter/email.
