APPLICATION FORM

Welcome! This is the application form for the World Master Course on "Principles and Practice of Scoliosis Conservative Treatment".

Please submit this form only if you wish to apply for the course. If you need more information before applying or if you have any questions about this application form, please contact us at online.master@isico.it.

Special discounts are available for members/delegates of ISPRM/ESPRM/SOSORT, UEMS Board fellows and Board registered trainees, and for participants coming from low and lower-middle income countries.

Next year's course will officially start in January, 2020. Thank you for your interest in this course organized by Isico. All fields marked with an * are mandatory.


Personal Information

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Invoice issued to
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Language Proficiency

Mark below your level of proficiency in English (if you are a native English speaker, mark N/A for the questions below):
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Professional and Academic Information

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Skills and Expertise
We ask you some questions about your current experience in the conservative treatment of patients affected by vertebral deformities (mainly scoliosis, hyperkyphosis).
Approximately, how many patients affected by vertebral deformities did you examine last year?
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Approximately, how many braces did you prescribe last year?
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Do you usually work with an orthotist when designing and doing the final check of braces?
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Do you usually work with physical therapists when treating patients?
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In order for us to understand whether you are familiar with distance learning and would adapt well to a distance-learning program, and also find out more about your ability to work in a group, please respond to the statements below (your responses will not influence your application):
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I can devote 5-7 hours every two weeks to the course, in addition to the 1-hour live lesson.
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I use email, phone and text messages frequently in my work.
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I can download software from the Internet and install applications without needing assistance.
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The reasons I am applying for this course are (mark all that apply):
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Payment

Course fee:

Registration fee 3000 Euros

Special discounts

  • are offered a special discount of 20% on the full fee (discounted registration fee: EUR 2400). If you are eligible for this discount, please indicate why (fellow/registered trainee/member/delegate) in the final field of the form.
  • Residents in PRM are offered a special discount of 50% on the full fee (discounted registration fee: EUR 1500). If you are eligible for this discount, please send us a document proving that you qualify.
  • People coming from low and lower-middle income countries are eligible for the following special discounts:
    • lower-middle income countries: 50% (discounted fee: EUR 1500)
    • low income countries: 80% (discounted fee: EUR 600)


For participants resident in Italy, payment of VAT in addition to the current valid fee is compulsory.

The payment must be made via bank wire transfer:

Bank account holder: Isico Tecnologie Servizi srl, Corso Pavia 37, 27029 Vigevano (Italy)
Bank Name: Banco Di Desio E Della Brianza, Vigevano branch
Bank Address: Via Decembrio, 27029 Vigevano Italy
IBAN : IT18 Q034 4023 0000 0000 0276 900
SWIFT/BIC : BDBDIT22

Please inform your bank that bank charges are payable by you and send a copy of the wire transfer receipt to online.master@isico.it
Once the course has started, no refunds due to cancellation will be issued.

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