Moderator Preference Form

Please help us make your Medicine X experience as enjoyable as possible. We have a few questions that will help us take care of you during your time with us at Stanford.
  • Contact Information

  • Please give us the number of a phone you'll be carrying on you during the conference in case we need to find you during Medicine X.
  • Please give us the best mailing address in case we have to send something to you.
  • Conference Registration

    As a VIP, your conference registration is complementary. Please indicate below which events you plan to attend, which are provided at no cost to you.
    Please indicate which events you plan to attend. These are available at no cost to you.
  • Preferences

  • Special Requests

  • Please click Submit Below to Send your Responses to us.