DID 2027 Conference Registration Form

Diversity in Dermatology 2027 Conference

Chicago, Illinois | April 29 - May 2, 2027
Name

First NameLast Name
Email
Phone Number
Format: (000) 000-0000.
Credentials
Specialty
If you chose Other as a specialty, please type in your specialty.
Practice Name
Practice Address

Street Address

Street Address Line 2

CityState

Zip Code
NPI Number
NCCPA#
Preferred Address

Street Address

Street Address Line 2

CityState

Zip Code
Preferred Name, Credentials, and/or Title for Name Badge
How many years have you been in the practice of dermatology?
Were you referred by someone?
How did you hear about DID 2026?
Do you have any dietary allergies or restrictions?
Gender
Age
Thursday Clinical Workshops

Thursday Afternoon | Limited Seating | Choose one immersive, interactive workshop designed to translate clinical knowledge into practical skills.
Please select the workshop you would like to attend. Workshops will be held concurrently.
DID CLINICAL DINNER EXPERIENCES

Enhance your DID 2027 experience with an intimate evening of advanced clinical education, engaging discussion, and dinner with colleagues and faculty. (LIMITED TO 50 for each experience)
Thursday April 29th Evening Clinical Dinner Experience (Faculty & Topic to be announced) - Limited to 50 seats
Saturday, May 1st Evening Clinical Dinner Experience (Faculty & Topic to be announced) - Limited to 50 seats
DID SOCIAL EVENTS

he connections made at DID extend well beyond the classroom. Join colleagues, faculty, and friends for two signature evening experiences designed to bring our community together.
Thursday Night | The Networking Exchange
Friday Night | Gold Coast After Dark | Aboard the Odyssey (limited to the first 150)
Industry Communications

Would you like to receive information from participating industry partners following DID 2027?
By selecting Yes, you agree that Diversity in Dermatology may share your name, professional email address, practice name, and practice mailing address with participating industry partners for educational and professional communications.

My Products

DID Members

$299.00 Quantity

DID Non-Members

$399.00 Quantity

Industry MSLs/PharmDs

$599.00

Students

$149.00 Quantity

Dermoscopy Online Certification Course Add-On

7.5 Category I Credits. Can go toward your certification for licensing.

$399.00

Enter coupon

Total

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Diversity in Dermatology 2027 Conference

Thursday Clinical Workshops

DID CLINICAL DINNER EXPERIENCES

DID SOCIAL EVENTS

Industry Communications

My Products

Payment Methods