Study Group Registration

Email Address

Select a registrant type

IDOC Member

Non Member

How did you hear about this study group?

First Name

Last Name

Job Title

Practice Owner, OD

Practice Owner, Non-OD

Associate OD

Office Manager

Optical Manager

Optician

Billing Specialist

Optometric Technician

Front Desk Receptionist

Social Media Coordinator

Other

Do you utilize GPN EdgePro?

Yes

No

Unsure

Other

Member ID

Practice

Work Phone

Mobile Phone

Please confirm your state.

Choose A Password

Creating a password lets you log back in to modify your registration and speeds up your next registration.

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