2026 STEP Spasticity Skills Assessment Session Request Form
Participant Information
Name
*
First Name
Last Name
Credentials
Email Address
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number for AAPM&R staff to text or call you onsite if needed.
Format: (000) 000-0000.
Skills Assessment Session Options
Select the following skills assessment slot below to request your spot.
*
The Thursday, November 12, 1:00–4:30 pm EDT
session is currently full.
Please notify me of additional assessment sessions as they become available.
Yes
No
Assigned Session Date and Time
Thursday, November 12, 2026, 1 - 4:30 pm EDT
Friday, November 13, 2026 from x - x EDT
Will you be attending Annual Assembly in addition to the Skills Assessment?
*
Attending Annual Assembly in addition to the Skills Assessment
Skills Assessment Only
Accessibility Needs
Do you require any ADA accommodations or accessibility services?
*
Yes
No
Please describe needed accommodations or services:
Do you have any dietary restrictions?
Yes
No
Please describe dietary restrictions:
Submit
Should be Empty: