{"id":8718,"date":"2025-11-28T16:46:37","date_gmt":"2025-11-28T16:46:37","guid":{"rendered":"https:\/\/www.worldmeetings.com\/?page_id=8718"},"modified":"2025-11-28T20:52:08","modified_gmt":"2025-11-28T20:52:08","slug":"hcp-form","status":"publish","type":"page","link":"https:\/\/www.worldmeetings.com\/en\/novartis-esc\/hcp-form\/","title":{"rendered":"Form Novartis (HCP)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8718\" class=\"elementor elementor-8718\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e83776f e-con-full e-flex e-con e-parent\" data-id=\"e83776f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-84c8b27 e-con-full e-flex e-con e-child\" data-id=\"84c8b27\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;,&quot;shape_divider_bottom&quot;:&quot;tilt&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0,6V0h1000v100L0,6z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a53da0 elementor-widget elementor-widget-spacer\" data-id=\"6a53da0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-08eda9c e-con-full e-flex e-con e-child\" data-id=\"08eda9c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-3aea8eb e-con-full e-flex e-con e-child\" data-id=\"3aea8eb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-af9e893 elementor-widget elementor-widget-spacer\" data-id=\"af9e893\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73bbe1c elementor-widget elementor-widget-heading\" data-id=\"73bbe1c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">HCP<br><br><br><br><strong> Registration form<\/strong><\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a611f6 elementor-widget elementor-widget-spacer\" data-id=\"6a611f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bb6f314 elementor-widget elementor-widget-text-editor\" data-id=\"bb6f314\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"109\" data-end=\"575\">To ensure accurate coordination and compliance, we kindly ask you to provide the information requested below. Your submission will be used solely for the organization of this project and will not be shared with other participants. After completing the form, you will receive a confirmation by email.<\/p><p data-start=\"109\" data-end=\"575\"><br data-start=\"408\" data-end=\"411\" \/>If you have any questions or need to make adjustments after submitting your details, please contact the Worldmeetings project team at <strong data-start=\"545\" data-end=\"574\"><a class=\"decorated-link cursor-pointer\" rel=\"noopener\" data-start=\"547\" data-end=\"572\">novartis@worldmeetings.nl<\/a><\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7038ea0 elementor-widget elementor-widget-spacer\" data-id=\"7038ea0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c497d7 elementor-widget elementor-widget-image\" data-id=\"2c497d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"640\" src=\"https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/Titel-7.png\" class=\"attachment-large size-large wp-image-8836\" alt=\"\" srcset=\"https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/Titel-7.png 1000w, https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/Titel-7-300x240.png 300w, https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/Titel-7-768x614.png 768w, https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/Titel-7-15x12.png 15w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2d9a125 e-con-full e-flex e-con e-child\" data-id=\"2d9a125\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c8f254c elementor-widget elementor-widget-image\" data-id=\"c8f254c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"146\" src=\"https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/novartis-logo-transparent.png-1024x187.webp\" class=\"attachment-large size-large wp-image-8725\" alt=\"\" srcset=\"https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/novartis-logo-transparent.png-1024x187.webp 1024w, https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/novartis-logo-transparent.png-300x55.webp 300w, https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/novartis-logo-transparent.png-768x140.webp 768w, https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/novartis-logo-transparent.png-1536x280.webp 1536w, https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/novartis-logo-transparent.png-18x3.webp 18w, https:\/\/www.worldmeetings.com\/app\/uploads\/2025\/11\/novartis-logo-transparent.png.webp 1780w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4bdd270 elementor-widget elementor-widget-heading\" data-id=\"4bdd270\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">ESC Congress M\u00fcnchen 2026.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f4f9e8 elementor-widget elementor-widget-spacer\" data-id=\"6f4f9e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f016be elementor-widget__width-inherit elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"1f016be\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"HCP form Novartis\" aria-label=\"HCP form Novartis\" novalidate=\"\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"8718\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"1f016be\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Formulier Novartis (HCP) - Worldmeetings\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"8718\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0e07b0d elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0e07b0d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFull name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_0e07b0d]\" id=\"form-field-field_0e07b0d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-name elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTitle\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Dr.\">Dr.<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Prof.\">Prof.<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"MD\">MD<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"PhD\">PhD<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Other (specify by full name)\">Other (specify by full name)<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail address (professional)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email address\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e93bb2f elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e93bb2f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSpecialization\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e93bb2f]\" id=\"form-field-field_e93bb2f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Specialization\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_aceaf6c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_aceaf6c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWork institution\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Hospital\" id=\"form-field-field_aceaf6c-0\" name=\"form_fields[field_aceaf6c][]\"> <label for=\"form-field-field_aceaf6c-0\">Hospital<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Clinic\" id=\"form-field-field_aceaf6c-1\" name=\"form_fields[field_aceaf6c][]\"> <label for=\"form-field-field_aceaf6c-1\">Clinic<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_15efb8e elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_15efb8e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWork address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_15efb8e]\" id=\"form-field-field_15efb8e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Work address\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a2f9dc3 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a2f9dc3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCountry\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a2f9dc3]\" id=\"form-field-field_a2f9dc3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Country\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0ff9177 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0ff9177\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNationality\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_0ff9177]\" id=\"form-field-field_0ff9177\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nationality\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_c561e8d elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c561e8d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAllergies or dietary requirements\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_c561e8d]\" id=\"form-field-field_c561e8d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Allergies or dietary requirements\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMobility needs\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"4\" placeholder=\"Mobility needs\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit Form<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d2a2bde e-flex e-con-boxed e-con e-parent\" data-id=\"d2a2bde\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>HCP Registration form To ensure accurate coordination and compliance, we kindly ask you to provide the information requested below. Your submission will be used solely for the organization of this project and will not be shared with other participants. After completing the form, you will receive a confirmation by email. If you have any questions [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":8787,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8718","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formulier Novartis (HCP) - Worldmeetings<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.worldmeetings.com\/en\/novartis-esc\/hcp-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulier Novartis (HCP) - Worldmeetings\" \/>\n<meta property=\"og:description\" content=\"HCP Registration form To ensure accurate coordination and compliance, we kindly ask you to provide the information requested below. Your submission will be used solely for the organization of this project and will not be shared with other participants. After completing the form, you will receive a confirmation by email. 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