Please provide this information to register for the Physician Career BootCamp. Upon receipt of this form, you will receive a link to take the Birkman Method Assessment which will be used to assist in defining your most productive career opportunities and a PDF copy of my book, The Physicians Guide to NonClinical Careers. Please complete the Birkman assessment online within 10 days of receipt and at least 14 days prior to the conference. Please review the book so terms and terminology will be familiar as well as to stimulate your questions.
third_Evolution™, Physician Centered Practice™ and Physician Career BootCamp™ are the registered
trademarks ® of third_Evolution™ Non-Clinical Careers for Physicians™ and is owned by
RFP Physician Career Services, LLC.