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"*" indicates required fields Name* First Last Occupational Category*— Select —AcademiaCase ManagerManagement Administration – PayerManagement Administration – ProviderMedical Director/Clinical DirectorNurseNurse PractitionerPeer SpecialistPharmacistPharmaceutical CompanyPhysicianPhysician AssistantPsychiatristPsychologistResidentCertified Social WorkerTherapistIndustry ProfessionalOtherSpecialty* Adult Family Medicine Geriatric Internal Medicine Long Term Care Pediatric Psychiatry How did you hear about PsychU?*— Select —Otsuka MSL/MMLEmailExhibit/EventFriend/ColleagueWeb AdvertisementFlyerSocial Media (Linkedin, Twitter, Etc.)Online SearchPrint AdvertisementLundbeck MSLOther Otsuka/Lundbeck EmployeeOtherStreet Address* Country*Choose CountryUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsZip / Postal Code* Zip / Postal Code* City* State / Province / Region* Phone Number* State License Number NPI Number State License Number* NPI Number* NPI Exception I certify that I am a Health Care Provider, but I do not have a NPI Number. Choose Your Unique LoginUser Name*Your username can only contain lowercase letters (a-z) and numbers. Username cannot be the same as email address. Email* Enter Email Confirm Email Password*Your password must be at least 8 characters Hint: Must use combination of lower case letters, upper case letters, numbers and special characters like !@#$. Generate Password Enter Password Confirm Password I AGREE TO THE FOLLOWING TERMSI agree to the following terms:* I certify that I am a physician, clinical professional, current medical school student, care manager, advocate, recovery coach or an executive and/or manager of an organization and that my primary role is to provide, manage, finance, study, or regulate mental health services for adult patients. I understand that any services and information provided on this website are supplied as a professional courtesy and I must continue to form my own conclusions and make my own decisions. I am also aware that Otsuka Pharmaceutical Development & Commercialization, Inc., Otsuka America Pharmaceutical, Inc. and their designees (“Otsuka”) intend to regularly revise this website and reserve the right to decline membership to individuals who Otsuka determines do not meet the aforementioned certification requirements. I agree to the following terms* By providing your name, email address, and other information, you are giving Otsuka and companies working with Otsuka permission to send you information from PsychU. Otsuka will not sell or transfer your personal information to any unaffiliated third party, without your prior written consent. Otsuka may monitor your use of the PsychU website to provide you with complimentary information about relevant educational programs based on your use the PsychU website. You agree that, should you use any material provided through PsychU you will attribute the source of that information to “PsychU sponsored by Otsuka Pharmaceutical Development & commercialization, Inc.” For additional information about how Otsuka uses your personal information, how to amend or delete your information, and how to opt out of future communications, please read Otsuka’s Privacy policy, which can be found here. By clicking “Join” and submitting your information, you agree to the terms provided above, and the terms provided in Otsuka’s Terms of Use and Privacy Policy. HiddenDirect Care Provider Direct Care Provider Newsletter False HiddenClinician Newsletter Clinician Newsletter False HiddenManagement Newsletter Management Newsletter False Hiddenuser_preferences_account_notifications user_preferences_account_notifications False Hiddenuser_preferences_webinar_emails user_preferences_webinar_emails False Event RegistrationSubmit any questions you may have regarding the topic of this Event and we will try to answer them during the live presentation:How Did You Hear About This Event*Otsuka Field Medical AffairsEmailExhibit/EventFriend/ColleagueWeb AdvertisementFlyerSocial Media (LinkedIn, Twitter, Etc.)Online SearchPrint AdvertisementLundbeck MSLOther Otsuka/Lundbeck EmployeeOtherDate* MM slash DD slash YYYY Hiddenotsuka attendence page Event ID HiddenEvent Page Registration Event ID Meal Opt Out Meal Opt Out Attested* Attested (Required)Signature*PSYCHU PROGRAM ATTENDANCE ELIGIBILITY REQUIREMENTS PsychU is supported by Otsuka Pharmaceutical Developmental & Commercialization Inc., Otsuka America Pharmaceutical, Inc., and Lundbeck, L.L.C., committed supporters of the mental health treatment community; as such, PsychU is governed in accordance with the PhRMA Code on Interactions with Healthcare Professionals attendance at educational programs. PSYCHU MEMBERSHIP ELIGIBILITY In accordance with the PhRMA Code on Interactions with Healthcare Professionals, attendance at PsychU educational programs is limited to appropriate attendees (e.g., physician, clinical professional, current medical school student, care manager, advocate, recovery coach or an executive and manager of an organization) whose primary role is to provide, manage, finance, study, or regulate mental health services for adult patients. NOTE: Otsuka Pharmaceutical Development & Commercialization Inc. (OPDC) reserves the right to decline membership to individuals who OPDC determines do not meet the certification requirements. MEMBERSHIP & REGISTRATION Membership is required to attend PsychU programs. Membership is free to all relevant mental health professionals as described above. If you are not currently a member of PsychU, you will need to become a member before you can register to attend an event. Registration for PsychU Live Events will be closed 2 business days prior to the date of the event. No walk-ins will be permitted to attend PsychU Live Events. To become a member and register for a PsychU Program, please visit https://www.PsychU.org/. ATTENDANCE LIMITATIONS PsychU declines attendance after a healthcare professional has attended a pre-determined number of programs, has attended multiple programs on the same topic or is outside the appropriate specialty for PsychU programs, to avoid any appearance of impropriety between OPDC and the healthcare professional. This measure protects the healthcare professional as well as OPDC. If you have any questions, please do not hesitate to reach out to the OPDC Ethics and Compliance Department at E&CHelpline@otsuka-us.com. MEAL REPORTING The value of all meals provided at PsychU events will be attributed to attendees and reported in accordance with relevant federal and state laws.Hiddenutm_source Hiddeninitial_source CAPTCHA Δ
