Parent Information - Atresia Microtia Conference

Personal Information

Fill out the information below, then click Next to continue.

* Parent's First Name

* Parent's Last Name

* Email address

Registration Type Descriptions:

New Patient Registration: Select this option if this is your first time attending an Atresia Microtia Conference with us.
Return Patient Registration: Select this option if you have already attended a conference with us or your child has already had surgery with one of our surgeons.

Note: All prices are per family. All new families will have an opportunity to meet with Dr. Joseph Roberson for a 15-minute consult. If time allows, returning families and surgical patients will also have a chance to meet with Dr. Roberson.