Ern-skin members registration form 2019 Board Meeting Registration ERN-Skin 2019 Board Meeting Online Registration Please fill in the form below By checking this box, I agree to my personnal data being temporarily stored by the ERN Skin website to complete my registration. It will not be transmitted to any third party. First name (required) Last name (required) E-Mail (required) Country (required) AlbaniaAndorraAustriaBelarusBelgiumBosnia and HerzegovinaBulgariaCroatiaCzech RepublicDenmarkEstoniaFinlandFranceGermanyGreeceHungaryIcelandIrelandItalyLatviaLiechtensteinLithuaniaLuxembourgMaltaMoldovaMonacoNetherlandsNorwayPolandPortugalRomaniaRussiaSan MarinoSerbia and MontenegroSlovakiaSloveniaSpainSwedenSwitzerlandUkraineUnited Kingdom You are : (required) A ERN-Skin member or affiliateA patient advocateAn invited guest [group ernskin-member-selected clear_on_hide] Choose the healthcare provider you work for: (required) Necker enfants malades - FR09EBHaus Austria - AT01Ghent University Hospital - BE06Cliniques Universitaires de Bruxelles - Hopital Erasme - BE04University Hospital Brno - EB Centrum CR - CZ08Na Bulovce Hospital - CZ03Saint Anna University Hospital in Brno - CZ06Universitätsklinikum Freiburg - Center for Skin Fragility & Epidermolysis bullosa - DE38Universitätsklinikum Erlangen - DE24Universitätsmedizin Rostock - DE25Universitätsklinikum Schleswig-Holstein - DE42Klinikum der Universität München - DE03Universitätsklinikum Regensburg - DE19Universitätsklinikum Münster - DE26Städtisches Klinikum Dessau - DE20Universitätsklinikum Würzburg - DE27Odense University Hospital - DK03Zealand University Hospital - DK04Hospital Clínic i Provincial de Barcelona y Hospital de Sant Joan de Déu - ES05Helsinki University Hospital - FI01APHP, Hôpital Henri-Mondor - FR15CHU de Bordeaux - FR22CHU de Rouen - FR31CHU de Toulouse - FR34CHU de Nice - FR28University Hospital Centre Zagreb - HR01Semmelweis University - HU03University of Debrecen - HU01Our Lady's Children Hospital Crumlin - IE01ASL Tuscan Centre - IT27Foundation IRCCS CA'Granda Ospedale Maggiore polyclinic - Milan - IT34IRCCS IDI foundation Luigi Maria Monti - Rome - IT39Pediatric hospital Bambino Gesù - Rome - IT58AO Padua - IT07Hospital of Lithuanian University of Health Sciences Kauno Klinikos - LT04Academic Medical Center Amsterdam - NL01Erasmus MC University Medical Center Rotterdam - NL03Maastricht University Medical Center - NL06University Medical Centre Groningen - NL02University Swiecicki Hospital in Poznan - PL05Colentina Clinical Hospital - RO02Uppsala University Hospital - SE05Barts Health NHS Trust - UK02Birmingham Children's Hospital NHS Foundation Trust - UK04Great Ormond Street Hospital for Children NHS Foundation Trust - UK08Guy's and St Thomas' NHS Foundation Trust - Dept. Of Dermatology - UK09Guy's and St Thomas' NHS Foundation Trust - Dept of oral Dermatology - UK09Guy's and St Thomas' NHS Foundation Trust - UK National Xeroderma Pigmentosum Unit - UK09Scottish Photobiology Service, NHS Tayside - UK17Cardiff and Vale University Health Board - UK36The Leeds Teaching Hospitals NHS Trust - UK12Szent-Györgyi Albert Medical Center, University of Szeged - HU04Universitätsklinikum Freiburg - Institute for Human Genetics - DE38University Hospital Leuven - BE10AOU - Bologna - IT11University Hospital Královské Vinohrady - CZ04Recent member or affiliate [group recent-affiliate-selected] Name of your healthcare provider (required) [/group] [/group] [group patient-advocacy-selected clear_on_hide] Name of your patient advocacy organisation (required) [/group] [group spotappok clear_on_hide] You are invited to the SPOT App test on the 3rd of october, 9:00 AM, will you attend ? YesNo [/group] [group all-set] Sessions you will attend Thematic group meetings - October 3 11:00 AM - 01:00 PM Epidermolysis BullosaCutaneous Mosaic DisordersHidradenitis suppurativaNo session 02:00 PM - 04:00 PM Severe cutaneous drug reactionsEctodermal DysplasiasMendelian Causes of Connective Tissue DisordersNo session 04:30 PM - 06:30 PM Autoimmune bullous diseasesIchthyosis & Palmoplantar KeratodermaCutaneous diseases related to DNA Repair DisordersNo session Meeting with invited experts - October 4 Clinical Decision Tools - Multidisciplinary approach - 11:00 AM - 12:30 PM YesNo Training courses - October 4 2 didactic/complex cases in ophthalmology & dermatology - 01:30 PM - 02:15 PM YesNo 2 didactic/complex cases in stomatology & dermatology - 02:15 PM - 03:00 PM YesNo 2 didactic/complex cases in radiology & dermatology - 03:00 PM - 03:45 PM YesNo [/group] × ern_skin2019-06-13T11:18:41+02:00