Registration Procedures

If paying by credit card, please fill out the registration form online.

If paying by check, attendees are required to download the registration form and complete the form providing all required information.

DOWNLOAD AND PRINT – THE REGISTER BY CHECK FORM HERE>

Checks must be made out to Genesis Community Health Inc. (the Diabetes Coalition’s fiscal agent). The completed registration form and check should be mailed to:

Genesis Community Health, Inc.
2623 S. Seacrest Blvd
Suite #65
Boynton Beach, FL 33435

Once the completed registration form and check are received, a confirmation receipt will be emailed to you.

  • Please Complete All Sections

  • (MD, DO, RN, Certified Diabetes Educator, etc.)
  • Registration Fees:

    PLEASE NOTE: YOU MUST BE PRE-REGISTERED TO ATTEND THE SYMPOSIUM