Before you submit your case, please carefully review the following guidelines regarding patient confidentiality and your personal data.
Patient confidentiality (strict requirement) Please do not include any personally identifiable information regarding the patient in this form or during the live webinar discussion.
Please redact or omit:
names, initials, or exact dates of birth
hospital identification numbers
clear facial photographs or unique identifiers (e.g. tattoos)
any specific geographic details that could identify the individual
How we use your data By submitting this form, we will collect your name, email address, and institution. This data is used to:
manage and administer your case submission
provide essential webinar-related communications
facilitate networking opportunities and improve our services
Photos and video consent Photographs and videos may be taken during the webinar for promotional and marketing purposes by PVRI and our event sponsors. By proceeding, you consent to your image being captured and used in this way.
For a complete overview of your rights and our obligations, please review:
