ENDO DUBAI - Patient Corner Registration Form

Participants Information

Please note that availability is on a first-come, first-served basis.
Patient Corner – Complimentary Access & Conditions: February 6th and 7th, 2026

Dedicated Program Details will be available soon on (HERE)

Access to the Patient Corner is provided complimentary of charge as part of MIS Academy’s ongoing commitment to raising awareness and advancing knowledge on endometriosis that is not only for medical professionals, but also for patients.

Registration is strictly on a first-come, first-served basis, as slots are limited.

In return for this complimentary access, participation is dedicated exclusively to the Patient Corner program and does not include access to other scientific or industry sessions. To ensure fair allocation, proof of relevant documentation may be requested during registration or on-site.

We kindly ask registrants to confirm only if they are certain they can attend, so that this opportunity is reserved for individuals who truly need and will benefit from the program.
Name

First NameLast Name
Are you Physician or Patient?
Please specify
Kindly select your preferred session to attend:
Gender
Date of Birth

MonthDayYear
Mobile Number

Area CodePhone Number
Email Address
example@example.com
Complete Address

Building/Villa/Apartment Number

Street Address

CityState / Emirate

Zip CodeCountry
Name of your Hospital/Private Clinic
Please upload a justifying document of your current status (i.e. copy of I.D and other proof of residency).

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Participants Information