Diversity in Dermatology™
2023 Conference

march 2 - 5, 2023 | join us live
orlando hilton bonnet creek

The first 175 to register will receive VIP tickets to epcot VIP reception

Register Now

2023 DID Conference Registration

"*" indicates required fields

First Name*

Last Name*

Email*

Phone*

Specialty

Credentials*

Name & Credentials for Attendee Badge*

Practice or Company Name*

NPI

NCCPA #

You can look up your NCCPA Number here

You can look up your NPI Number here

Company Address*

Preferred Address*

How did you hear about us?

Referred by:

What are your special interests / areas of expertise

(list top 3-4)

Do you have special interests / areas of expertise as it relates to diversity ?

(i.e. Skin of Color, LGBTQ, specific cultural / ethnic group skincare/skin conditions)

Gender*

Age*

Do you have any dietary restrictions?

Attendance Type*

Will you be attending the following social events:

Dueling Drag Cabaret Reception in Exhibit Hall - Thursday , March 2 at 6:00PM

All Around the World Reception at Epcot - Friday, March 3 at 7:00PM

Achieve Program Reception Hilton Poolside (Achieve Students, Leaders, and Faculty Only) - Saturday, March 4 at 6:00PM

Faculty and VIP Dinner at Oscars (Faculty and DID Leaders Only) - Saturday, March 4 at 7:30PM

Optional Tracks - Thursday, March 2, 8:00AM - 10:00AM

Aesthetic Track - Microtoxin & Lips

Integrative Medicine Track

Will not attend either track

Select One Option (Limited to 75 people each)

Conference Registration*

Coupon

Total

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Untitled

Diversity in Dermatology™
2023 Conference

march 2 - 5, 2023 | join us live
orlando hilton bonnet creek

The first 175 to register will receive VIP tickets to epcot VIP reception

Register Now

2023 DID Conference Registration

Thank You to Our Title, President, Platinum, and Diamond Level Sponsors!

Ted Rosen, MD

Diversity in Dermatology™ 2023 Conference

march 2 - 5, 2023 | join us liveorlando hilton bonnet creek

The first 175 to register will receive VIP tickets to epcot VIP reception

Register Now

2023 DID Conference Registration

Thank You to Our Title, President, Platinum, and Diamond Level Sponsors!

Ted Rosen, MD

Diversity in Dermatology™
2023 Conference

march 2 - 5, 2023 | join us live
orlando hilton bonnet creek