Your Registration

Online Registration is only for new customers; if you are an existing member please send an email to info@empiremedicaltraining.com with your request for registrations. If you have any questions please call 866.366.1576.


Sexual Dysfunction Training for Men and Women -	$0.00
Feb 28 2020 New York City, NY The Westin New York at Times Square

Physician Medical Weight Loss Training -	$0.00
Oct 25 2020 Las Vegas, NV Flamingo Las Vegas

Peptide Therapies Treatment Training -	$0.00
Jun 05 2020 Empire-Virtual-Training LiveStream / Online Training

Botulinum Toxin Training -	$0.00
Jun 13 2020 Empire-Virtual-Training LiveStream / Online Training

Medical Hair Loss Therapy Training -	$699.00
Jun 26 2020 Empire-Virtual-Training LiveStream / Online Training

NCV / EMG -	$0.00
Jan 16 2021 -Jan 17 2021 Orlando, FL Hilton Orlando Lake Buena Vista

Advanced MSK Ultrasound Guided Injections -	$0.00
Dec 31 1969 Dallas, TX The Westin Dallas Downtown

PRP Training for Aesthetics -	$699.00
Aug 10 2020 Empire-Virtual-Training LiveStream / Online Training

Botulinum Toxin Training -	$699.00
Aug 15 2020 Empire-Virtual-Training LiveStream / Online Training

Botulinum Toxin Training -	$699.00
Aug 22 2020 Empire-Virtual-Training LiveStream / Online Training

Sexual Dysfunction Training for Men and Women -	$699.00
Jul 24 2020 Empire-Virtual-Training LiveStream / Online Training

Complete Dermal Filler Training -	$0.00
Jul 11 2020 Fort Lauderdale, FL GALLERYone - a DoubleTree Suites by Hilton Hotel

Complete Facial Aesthetics -	$699.00
Oct 23 2020 Empire-Virtual-Training LiveStream / Online Training

Complete Dermal Filler Training -	$0.00
Aug 27 2021 Toronto, Canada Toronto Marriott City Center

Key Steps B2C - Developing & Operating a Medical Practice -	$0.00
Oct 09 2020 Empire-Virtual-Training LiveStream / Online Training

Complete Facial Aesthetics -	$0.00
Dec 03 2021 New York City, NY New York Marriott at the Brooklyn Bridge

PRP Training for Aesthetics -	$0.00
Sep 24 2021 Orlando, FL Orlando World Center Marriott

PDO Threads and PRP for Hair Restoration -	$0.00
May 14 2021 Los Angeles, CA Marriott Anaheim

PRP Training for Aesthetics -	$0.00
Oct 29 2021 Philadelphia, PA Sheraton Philadelphia Downtown

Botulinum Toxin Training -	$0.00
Dec 11 2021 Detroit, MI Aloft Detroit at The David Whitney

THE Pain Show -	$0.00
Mar 18 2022 -Mar 20 2022 Las Vegas, NV Embassy Suites by Hilton Las Vegas

Collagen Boosting Biostimulators for Facial Contouring -	$0.00
Jan 29 2022 New York City, NY Intercontinental NEW YORK Times Square

Complete Dermal Filler Training -	$0.00
Aug 06 2022 Seattle, WA Renaissance Seattle Hotel

Kybella Certification Training -	$0.00
Nov 04 2022 Empire-Virtual-Training LiveStream / Online Training

Complete Dermal Filler Training -	$0.00
Mar 04 2023 Chicago, IL Sheraton Grand Chicago

Botulinum Toxin Training -	$0.00
Jun 17 2023 Charlotte, NC DoubleTree by Hilton Charlotte

Complete Dermal Filler Training -	$0.00
Jun 17 2023 Charlotte, NC DoubleTree by Hilton Charlotte

Complete Dermal Filler Training -	$0.00
Aug 26 2023 New York City, NY New York Marriott at the Brooklyn Bridge

Mesotherapy Training -	$0.00
Nov 03 2023 Dallas, TX The Westin Dallas Downtown

Sclerotherapy for Physicians & Nurses -	$0.00
Jul 16 2023 Berkeley, CA DoubleTree by Hilton Berkeley Marina

Advanced Botox and Dermal Fillers (Level II) -	$0.00
Aug 06 2023 Orlando, FL Signia by Hilton Orlando Bonnet Creek

Advanced Botox and Dermal Fillers (Level II) -	$0.00
Aug 06 2023 Orlando, FL Signia by Hilton Orlando Bonnet Creek

Sub-Total: $4,194.00
(-) Discount: $200.00
remove all discount / vendor code Total Amount Due: $3,994.00

1 - Customer Information

First Name:

Last Name:

Medical Title:

Email Address:

Telephone:

Are you a Practice Owner?:

State License #:

Name of Account Rep who guided you, if any:

2 - Payment Information

eCheck Payment

CONSUMER AUTHORIZATION FOR DIRECT DEPOSIT VIA ACH

I (we) hereby authorize EMPIRE MEDICAL TRAINING, INC to electronically debit my account as follows at the depository financial institution named below. I (we) agree that ACH transactions that I (we) authorize comply with all applicable law.

Account Type:

Bank (Institution) Name:

Routing Number:

Account Number:

Name on Account:

Amount to be Charged:

Date:

Email for Confirmation:

I (we) understand that this authorization will remain in full force and effect until I (we) notify EMPIRE MEDICAL TRAINING, INC. in writing at the following:

Empire Medical Training, Inc.
2720 East Oakland Park Blvd, #102
Fort Lauderdale, FL 33306
(954) 525-4273
(954) 358-2860 (F)

That I (we) wish to revoke this authorization.

Name(s):

Date:

eSignature: (Please type your full name)

Credit Card Payment
(2.5% Covenience fee)

Card Type:

Credit Card Number:

Expiration Date:

CVV:

3 - Billing Information

Address:

Address 2:

City:

Country:

State:

Zipcode:

I acknowledge that I have read and agree with the Empire Medical Training terms of service, privacy policy, and cookie policy.