South Florida 2021 Synchronous Live Conference – CE2012 August 2021 Conference - CE2012 August 14-15 2021 Synchronous Learning Conference Step 1 of 3 33% Attendee InformationName* First Last Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Florida Chiropractic License Number*Please enter your licences number in this format: CH99999Please do not use leading zeroes.If you are not yet licensed, please enter: N/A Additional State License NumbersPlease enter any other states your are licensed in and your license number.Cell Phone*Email*Email is our primary method of communication! You will receive your Registration Confirmation, CE Voucher, Schedule, and all information pertaining to the program via email. Please enter a valid email address and add the 'flchirocon.com' domain to your 'Safe Senders' list to ensure that you receive all pertinent information about your registration! Email Preferences*Check the boxes to indicate your email preferences. Add me to your email list. I would like to receive emails/special offers from this event's sponsors. Please ONLY send me conference information. Cancellation Policy*Cancellations within 72 hours of your registration, will be refunded less a $30 processing fee. Any cancellations after 72 hours will be issued a 50% refund of the registration fee. In order to process your cancellation, you must notify Florida Chiropractic Conferences (FCC) via email no later than seven (7) days prior to the event. Cancellations received within seven (7) days of the event will not be eligible for a refund. Transfers are subject to a $30 fee. Refunds / Transfers will not be available for registrants who forget / don't attend the event. Refunds or transfers will not be provided after the conference has occurred. Please note that refunds and transfers can take up to 48 hours to process. Yes, I agree. Please continue with my registration. No, I do not agree to these terms. I understand I will not be able to pre-register for this event. Synchronous Learning Policy*By registering for this event, I acknowledge that it is my responsibility to have an electronic device with audio visual capabilities and internet access. FCC bears no responsibility for your equipment malfunction or your internet carrier. Yes, I understand. Please continue with my registration. No, I do not agree to these terms. I understand I will not be able to pre-register for this event. How will you attend the seminar?*Please tell us how you will be attending the seminar. Live and in person Virtual via Zoom Save and Continue Registering Later! CE Certificate InformationIf you are receiving CE hours, you MUST fill out the necessary information below for Parker University's "Attendee Verification Form".Chiropractic College Graduation Year CE Hours For each CoursePlease enter the number of CE hours for each course you intend to attend. At the bottom of the page please enter the total CE hours.Saturday, August 14, 20218:00am-10:00am: Webster Technique (for pregnancy) (General)*Dr. Andrew DeSaro0128:00am-10:00am: Acupuncture Technique for the Certified Chiropractor (Acupuncture Technique)*Dr. Richard Merritt01210:00am-12:00pm: The Ethics of Informed Consent (Ethics)*Dr. Stuart Hoffman01210:00am-12:00pm Acupuncture Safety, Risks and Conditions (Acupuncture Risk)*Dr. Richard Merritt0121:00pm-3:00pm Documentation in the Practice of the Future...Today (Recordkeeping/Coding/Documentation)*Dr. Jeffrey Lewin0123:00pm-5:00pm: ICD10 & CPT Coding to the Highest Level of Specificity: Update Your Coding to Achieve the Appropriate Level of Care and Maximum Reimbursement (Recordkeeping/Coding /Documentation)*Dr. Sam Collins0125:00pm-7:00pm: Low-Tech Rehab for a High-Tech World (Medical Errors)*Dr. Jeffrey Lewin012Sunday, August 15, 20218:00am-10:00am: A New Approach to the Treatment of Chronic Pain (Session 1) (Recordkeeping/Coding /Documentation)*Dr. Ted Arkfeld012Understanding Florida Laws & Rules (Florida Law)*Dr. Kevin Fogarty0121:00pm-4:00pm: A New Approach to the Treatment of Chronic Pain (Session 2) (Recordkeeping/Coding /Documentation)*Dr. Ted Arkfeld 01234:00pm-7:00pm: Are You Prepared? How to Plan for Workplace Emergencies (Risk)*Dr. Andrew DeSaro0123TOTAL CE HOURSTOTAL CE HOURS*Please add up all of of your CE hours.1234567891011121314151617181920Attestation of CEU's*I do hereby attest that the information I provided is true, accurate and complete and I attest to the fact that I will attend and complete all the CEU’s I have signed up for. I understand that my hours will be verified with my online log in. Yes, I understand. Please continue with my registration. No, I do not agree to these terms. I understand I will not be able to pre-register for this event. Save and Continue Registering Later! PaymentPlease select your registration choice* Full Registration (up to 20 hours) Partial Registration (up to 10 hours) CCPA(up to 12 hours) Promo CodeIf you have a promotional code, please enter it here. Total $0.00 Credit CardCard Details Cardholder Name NameThis field is for validation purposes and should be left unchanged. Save and Continue Registering Later!