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About Us
Fill in the info below to register for a seminar.
Name as it is to appears on certificate
Professional Credentials
PT
PTA
OT
OTA
RN
LPN
MSW
Administrator
other
License number
License renewal date
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DD
YYYY
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Phone #
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Work #
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Cell #
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Email
Employer
Course location preference
Seminar
Multiple Choice
Falls in the Elderly (early) $300
Falls in the Elderly (regular) $350
Identifying Fall Risks (early) $165
Identifying Fall Risks (regular) $190
Assessment Tools (early) $165
Assessment Tools (regular) $190
Both Identifying and Assessment (early)
Both Identifying and Assessment (regular)
Payment Options
Paypal
Mail