Hands on 2026

Please complete the registration form below to submit your application for the Hands-On Experience at the Zaldivar Course 2026.

Your email*

Your name*

Country*

District/State*

Professional Experience*

Apostilled MD's certificate*

Apostilled ophthalmologist's certificate*

Hospital/Clinic /Institute working at?*

Current work location*

Medical practice insurance*

Reference letter*

Have you previously performed ICL implantation?*
YesNo

Number of ICL surgeries*

Briefly write about your interest in the course*

Instagram

Please upload a profile picture*

Are you a member of ISRS or RSA?*
YesNo

Upload proof of membership

If you have questions about the course, please email course@zaldivar.com.
For technical inquiries, please contact contact@zaldivarcourse.com.