ATLAS Agenda and Registration

ATLAS

(Advanced atrial Tachycardia Localization And mapping Strategies)

Friday October 3 - Saturday October 4, 2025

Westin

Denver International Airport

ATLAS Registration - 2025

Friday October 3 - Saturday October 4, 2025

Westin

Denver International Airport
Who is completing this form?*

PhysicianAbbott Employee
After the completion of this form, a formal email will be sent to the email address provided, with information to book travel. Spots for the program are limited and will be filled on a first-come, first-served basis. Please reach out to EP Professional education with any questions: ProfessionalEducation.EP@abbott.com.

*Note: requests from outside of the US will need to be cleared through Abbott leadership as well as the origin country before we can confirm registration*
Upon completion of this form, your customer is NOT FULLY REGISTERED. They will be placed on pending list for the 2025 ATLAS program. A separate email will be sent to your physician to fully register with all their pertinent information, through meetings and events. Reach out to EP Professional Education with any questions ProfessionalEducation.EP@abbott.com.

*Please note, this form is intended to sign up Physicians only. Abbott employees should not be requesting attendance for themselves.
Submission Date

MonthDayYear
Date
Requesting Sales Representative Detail:*

First NameLast Name
Sales Area*
Northeast Region*
Southeast Region*
Central Atlantic Region*
Central Region*
Mid America Region*
West Region*
Region for Monday
Please enter Country/Province/Other Region*
Abbott E-mail*
Health Care Professional Attendee - Details
Prefix*
First Name*
Last Name*
Item Name 4 Monday
HCP E-mail*
customer.email@example.com
Title*
Please note; registration preference will be given to practicing Electrophysiologists.
Current Institution*
Hospital Name
Current Institution Address*

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Phone for Monday
Dietary Restrictions*

NoneVegetarianVeganDairy FreeGluten FreeHalalOther
Dietary Restrictions for Monday
Abbott Sales Representative Detail (if known):

First NameLast Name
Sales Rep for Monday
Would you like to Opt in to receive additional emails about Abbott Education programs?*

YesNo
Registration Type for Monday
Should be Empty:

Health Care Professional Attendee - Details