Please be sure to submit your dossier, copy of license and APTA card (if applicable) in addition to payment!
|
Loma Linda University
Instructors:
Valerie Teglia, PT, DPT, NCS
Georgeanne Vlad, PT, MA
|
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)
**An IACCC facility is one who takes students from 2 or more IACCC schools AND schedules through the IACCC March mailing process.
REGISTRATION CLOSES DECEMBER 23rd, 2015