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I understand this is a non-CME professional education program and consent to PainTEQ contacting me regarding this event.

PainTEQ may contact me after this program with educational and product-related information. Consent is not required to attend and can be withdrawn at any time. 

I understand PainTEQ may be required to report the value of travel, lodging, and meals provided in connection with this program under the federal Physician Payments Sunshine Act (Open Payments) and applicable state laws.