Registration Form for Traumatic Brain and Spinal Injury Medical/Legal Symposium
You can register 2nd and 3rd attendee online after you register yourself.
If you would like to register more than 3 attendees, please call 1-800-975-5169 ext. 700.

Name *

Attorney: Yes or No?*

Physician: Yes or No?*

Paralegal: Yes or No?*

Medical Expert: Yes or No?*

Law Firm Name / Medical Practice / Business*

Phone Number*





Attestation: By agreeing to the terms and conditions of this program, which is administered by Catastrophic Care Society, LLC, I attest that I am a plaintiff lawyer. I also attest that I do not practice personal injury defense work and that neither I nor ANY member of my law firm does ANY insurance defense work or defense work for defendants in personal injury or wrongful death cases. I also attest that I will not disseminate or share any information, verbally or in writing, that I am privy to via this program with any attorney or legal firm that does personal injury defense work.

Refund policy: Catastrophic Care Society, LLC will refund 100 percent of attendee registration fee if attendee cancellation is received 30 days in advance of the start date of this program. Attendee’s request for a refund of the registration costs must be sent to, and the attendee must receive confirmation that their request has been received. No registration fee refund will be issued for cancellations received within 30 days of the start date of this program.

I have read and agree to the terms and conditions above.