Create A Profile

Please complete the following form. Please note the email address you provide, as you will need to use this same email address if you misplace your username and/or password. The PNS will use the information provided to identify you. The PNS will also publish this information in the PNS 2023 Annual Meeting online program, on the mobile app, and in the Journal of the Peripheral Nervous System (JPNS). Once you create your profile, the PNS will send you an email with a temporary password through our abstract submission software (the email will come from [email protected]).

Please note: the PNS will send all future correspondence regarding abstracts submitted on this account to the email address below. You may alter this information at any nytime by clicking on the "My Profile" link on the dashboard.

* - indicates a required item.

Contact Information

* First Name:

Middle Initial:

* Last Name:

Designations (Degrees):

Institution:

* Address1:

* City:

State/Province:

* ZIP/Postal Code:

* Country:

* Telephone (day):

* Email:

Confirm Email:

Assistant Information

If you would like a secretary, assistant, or a third party copied on your reminder e-mails and acceptance notifications, please include below:

Asst Email:

This form collects name, email addresses, and other contact information so our support team can communicate and provide assistance. Please check our Privacy Policy to see how we protect and manage submitted data.

*I consent to have this contact information collected via this form.