Please fill out the form to reserve your seat.

First Name *

Last Name *

Hospital/Institution *

Email *

NPI#

I'm a Current Ceribell Customer * YesNo

Comments

Stipend Eligibility Criteria

• Must be enrolled in an epilepsy fellowship program at a participating Ceribell site
• Must attend the full session
• Awarded on a first-come, first-served basis with a maximum of five fellows per program
• Review the full terms of reimbursement here.