Community Clinician Registration Form

The 2022 Annual Conference for the Federal Hemophilia Treatment Centers for Western States/Region IX will take place Friday, May 13 – Sunday, May 15, 2022, at the Grand Hyatt San Francisco. 

Address: 345 Stockton St., San Francisco, CA 94108
Phone: (415) 398-1234

Registration is required to attend. Please submit a completed registration form by 4/11/2022. Separate forms must be filled out for each attendee.

Name
Please indicate how you will attend the conference.
Please indicate which pre-conference session you will be attending on Friday, May 13.
Please indicate which breakout session you will be attending on Saturday, May 14, 1:45-3:00pm.
Please indicate any questions/issues that you want addressed during the conference
Meals included will be Friday reception, Saturday breakfast, lunch, am/pm breaks, and dinner, and Sunday breakfast, lunch, and am break. Please list any FOOD REQUIREMENTS:
HOTEL RESERVATION: Group rate of $289.00/night +tax (16.445%); Rates guaranteed through 4/11/2022.