Virtual Hand to Shoulder Fellowship Application
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  • Supplemental Questions to be included in a statement or listed in bullet points:

  • Required Texts:

    Skirvin, Osterman, Fedorczyk, Amadio, Feldscher, and Shin (eds).
    Rehabilitation of the Hand and Upper Extremity. 7th ed.
    Philadelphia: Elsevier, 2021.

  • Recommended Memberships:

    Professional national organizations for hand therapy, occupational therapy, or physical therapy.

    *VHSI holds no financial interests in the recommended memberships or purchase of required text.


  • Release Statement

    By enrolling in the program, I agree to the following terms and conditions:

    1. Program Compliance:
    I certify that I have thoroughly reviewed and agree to adhere to all program-specific instructions and policies outlined on the website and in the syllabus.

    2. Accuracy of Information:
    I certify that all the information and statements provided in this application are accurate, current, and complete to the best of my knowledge.

    3. Completion Requirement for CEUs:
    I understand that Continuing Education Units (CEUs) cannot be guaranteed unless I complete the full program, including all required components.

    4. Content Protection:
    I understand that sharing, reproducing, or allowing access to any program content to others is strictly prohibited. Access to content is for personal use only and should not be distributed in any form.

    5. Patient Care Mentorship:
    I acknowledge that mentorship on patient care provided by the program is not intended to replace direct communication with referring physicians. I will ensure that patient care is consistent with the protocols and progressions indicated by the referring physician or surgeon.

    6. VAT and Tax Responsibility:
    I understand that enrollment fees are exclusive of Value Added Tax (VAT) and any other applicable taxes. I am responsible for any additional taxes, duties, or fees imposed by my local government.

    7. Confidentiality and Data Protection:
    I understand that any personal, health, or case-related information shared in the program must be kept confidential and not disclosed without proper consent or as required by law. I will abide by all relevant confidentiality and data protection regulations, including but not limited to HIPAA in the U.S. and GDPR in the EU, as applicable.

    8. Program Modifications:
    I understand that the program content, schedule, or policies may be subject to change at the discretion of the program administrators. In such cases, I will be notified promptly, and reasonable efforts will be made to accommodate any changes. I acknowledge that such changes may not entitle me to a refund or partial refund unless specified in the refund policy.

    9. Refund and Cancellation Policy:
    I acknowledge that I have reviewed and understand the program’s refund and cancellation policy. I accept that once enrolled, there are no refunds for fees, and cancellation may result in forfeiture of the paid fees depending on the timing, as outlined in the specific program documentation.

    10. Liability Waiver:
    I agree to hold harmless and indemnify the program administrators, instructors, and any associated organizations from any claims, damages, or legal actions resulting from my participation in the program, including any outcomes related to patient care or professional practice. I understand that the program is for educational purposes only and is not responsible for the clinical decisions I make in my practice.

    By signing below, I agree to the terms and conditions outlined above.


  • Your certification of this statement serves the same purposes as a legal signature and is binding.


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