CI Training Course

Start
18 Jan 2015
8:00 AM
End
19 Jan 2015
5:30 PM
Location
Loma Linda University, Loma Linda, CA
Registered
17 registrants

Registration

IACCC Facility APTA Member – $160.00
IACCC Non-APTA Member (PT or PTA) – $250.00
IACCC Non-PT or PTA – $300.00
Non-IACCC APTA Member – $275.00
Non-IACCC Non PT or PTA – $465.00
Non-IACCC Non-APTA Member (PT & PTA) – $400.00

IACCC Facility means you work at a clinic or hospital that schedules students through IACCC (not individual schools), Non-IACCC means your clinic does not schedule students through IACCC, APTA means you are an active APTA member, Non-APTA means you are not an APTA member

Please be sure to submit your dossier, copy of license and APTA card (if applicable) in addition to payment!

Loma Linda University

Instructors:

Lisa Carroll, PT &

Marijean Piorkowski, PT, MS, DPT

PLEASE DO NOT REGISTER ONLINE IF YOU INTEND TO PAY BY CHECK! Thank you.

Registration

To register, each participant must submit via email or fax: dossier, license and, if applicable, APTA card:

1. Dossier typewritten. (download form here Participant Dossier Word.doc ) APTA WILL NOT ACCEPT HANDWRITTEN DOSSIERS.

2. Copy of state license to practice

3. Copy of current (as of date of course) APTA membership card, if applicable.

4. Registration fee-- check payable to IACCC, or payment on IACCC website via Paypal.

Mail check to:

Karen Campos

IACCC CCIP Administrator

1540 East Alcazar Street, CHP-155

Los Angeles, CA, 90089-9006

Fax: 323.442.2998

Registration Fees:

IACCC Affiliate Facility members

$160 (APTA member)

$250 (non APTA PT, non APTA PTA)

$300 (non-PT or non-PTA)

Non-IACCC Facility Members

$275 (APTA member)

$400 (non APTA PT, non APTA PTA)

$465 (non-PT or non-PTA)

REGISTRATION CLOSES DECEMBER 19th, 2014