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WISCONSIN CHIROPRACTIC ASSOCIATION September 24-27, 2020 September 24-27, 2020 Kalahari Resort & Convention Center Wisconsin Dells, WI Fall Convention 2020 2020

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Page 1: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

Wisconsin Chiropractic Association | 2401 American Lane | Madison, WI 53704 | phone: 608.256.7023 | fax: 608.256.7123 | www.wichiro.org

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WCA Fall Convention 20202020

W I S C O N S I N C H I R O P R A C T I C A S S O C I A T I O N

September 24-27, 2020September 24-27, 2020Kalahari Resort & Convention Center

Wisconsin Dells, WI

Fall Convention20202020

Page 2: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

Wisconsin Chiropractic Association | 2401 American Lane | Madison, WI 53704 | phone: 608.256.7023 | fax: 608.256.7123 | www.wichiro.org

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WCA Fall Convention 20202020

WCA FALL CONVENTION 2020Kalahari Resort & Convention Center, Wisconsin Dells

REGISTER NOW!

Committed to Providing You Quality EducationWhat an interesting and unexpected year it has been. Little did we know that COVID-19 would land in the United States and our standard business model and practice would change drastically!

The Wisconsin Chiropractic Association is committed to offering quality education programs in the safest manner possible. We’re very excited to see everyone at the Fall Convention, albeit with some mod-ifications to ensure the safety of our participants. Thank you for your understanding, flexibility and (perhaps most importantly) your sense of humor, as we work to bring you high quality Continuing Education.

Please note that the information contained in this document is subject to change, depending on restric-tions at the county, state or national level. As always, watch our website for the most current information: wichiro.org/conv_fall.

As we venture out again with safety protocols in place, we would like to thank our Corporate Partners and CE Sponsors (many are both!) for working with us during this record-breaking time. Please take a moment to view our partners and sponsors on page 10. We are grateful for their unwavering support of the WCA and its members!

Partners & Sponsors

Speakers

Lodging

Registration & Fees CE Descriptions

Schedule At A Glance

Quick Links

Page 3: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

Wisconsin Chiropractic Association | 2401 American Lane | Madison, WI 53704 | phone: 608.256.7023 | fax: 608.256.7123 | www.wichiro.org

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WCA Fall Convention 20202020

What’s New This Year?Safety & Sanitation Practices Based on our discussions with Kalahari Management, the resort and convention center is fully open for business, is up-to-date on their safety implementations and protocol, and has a detailed plan to meet the needs of families and convention goers. Attendees will be required to follow WCA safety practices.

Capacity LimitsCapacity for the convention and for individual seminars will be limited so that meeting rooms can allow for social distancing.

Kalahari: A Safe Getaway

Kalahari: What We’re Doing

WCA Safety Practices

ReadMore

Staggered Start & End TimesTo minimize heavy traffic flow, ses-sion start times will be staggered by 15-30 minutes. We will list final start and end times for seminars as we get closer to the event. You will have the opportunity to indicate your sem-inar choices when you register.

Longer Lunch Breaks To allow for more transition time, we are adding 15 minutes to the lunch break. Thank you for your under-standing and flexibility as we work with Kalahari to provide healthy re-freshments per their catering guide-lines. Tentative meal and refreshment plans include:• A box lunch is included in your

registration fees on Friday and Saturday.

• Any refreshments provided will be pre-packaged.

• Coffee/tea will be served by Kalahari catering staff.

Exhibit Halls & BoothsYes, instead of one big room full of exhibit booths, this year, exhibit booths will be located in multiple hallways. We call this Exhibit Booths – COVID Style! The attendees will be moving one-way through the hallways by means of stickers and arrow floor tape. The booths will be located at least six feet apart.

EXHIBITOR HOURSThursday Exhibitor Set Up (Tentatively Scheduled 1:00 - 8:00 pm)

Friday: 9:30 am - 6:00 pmSaturday: 9:30 am - 6:00 pmSunday: No exhibit hours

Page 4: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

Wisconsin Chiropractic Association | 2401 American Lane | Madison, WI 53704 | phone: 608.256.7023 | fax: 608.256.7123 | www.wichiro.org

- 4 -

WCA Fall Convention 20202020

Schedule At-A-Glance

Thursday, September 24Superhighway to Health: 7 Steps to Optimizing the Gut-Brain Connection

Dr. Robert G. Silverman8 CE DC / 4 NutritionSponsored by Nutri Dyn

Friday, September 25Welcome / Opening General Session 8:00 am - 9:45 am

Applying Clinical Reasoning in Spine Pain (CRISP): Evidence-Based Care, Communication Within the Healthcare System and Being Thorough in a Busy PracticeDr. Don Murphy2 CE DC

Friday Morning Breakout SessionsChiropractic Nutrition Module 2, Day 1Dr. David Seaman 2 CE DC/2 NutritionSponsored by NCMIC

Game Changers: Evidence-Based Best Practices for 8 Common Sports Injuries

Dr. Brandon Steele2 CE DCSponsored by ChiroUp

Whiplash Associated Disorders: Applying CRISP® Protocols

Dr. Don Murphy2 CE DC

Documentation and Patient Management Post-COVID 19

Dr. Mario Fucinari2 CE DC/CTSponsored by ChiroHealthUSA

FMT Movement Specialist Course: Conscious Movement Assessment

Dr. Caroline Seidel 2 CE DC/CTSponsored by Rocktape

Lunch BreakFriday Afternoon Breakout Sessions

Chiropractic Nutrition Module 2, (continued)

Dr. David Seaman 4 CE DC/4 NutritionSponsored by NCMIC

Game Changers: Evidence-Based Best Practices for 8 Common Sports Injuries (continued)

Dr. Brandon Steele4 CE DCSponsored by ChiroUp

Applying CRISP® in Patients With Cervical and Lumbar Radiculop-athy and Other Complex Cases (continued)

Dr. Don Murphy4 CE DC

2021 Evaluation and Management Guidelines

Dr. Mario Fucinari2 CE DC/CTSponsored by ChiroHealthUSA

Meeting the Functional Improvement Requirements of Treatment

Dr. Mario Fucinari2 CE DC/CT Sponsored by ChiroHealthUSA

Click on each class to view more information - OR - visit our Convention Website: wichiro.org/conv_fall

| Download Printer Friendly Schedule here |

Page 5: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

Wisconsin Chiropractic Association | 2401 American Lane | Madison, WI 53704 | phone: 608.256.7023 | fax: 608.256.7123 | www.wichiro.org

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WCA Fall Convention 20202020

Saturday, September 26Saturday Morning Breakout Sessions

Chiropractic Nutrition Module 2, (continued)

Dr. David Seaman4 CE DC/4 Nutrition Sponsored by NCMIC

Addressing the Underlying Causes of Fatigue Part II: Beyond the Basics - Finding & Addressing Secondary Causes of Fatigue

Dr. Chad Oler4 CE DC / 4 NutritionSponsored by Nutri Dyn

Lower Extremity Biomechanics and the Management of Common Lower Extremity Injuries

Dr. Kurt A. Juergens4 CE DCSponsored by Foot Levelers

Advance Pediatric Practice: Neurology, Immunology & Implementing New Modalities Into Chiropractic Practice

Dr. Marc E. Funderlich Jr 4 CE DCSponsored by Erchonia

The Role of Herbs and Nutrients in the Inflammatory Cascade

Dr. Marisa Marciano4 CE DC/4 NutritionSponsored by Standard Process

Lunch BreakSaturday Afternoon Breakout Sessions

Chiropractic Nutrition Module 2, Continued & Exam

Dr. David Seaman2 CE DC/2 NutritionSponsored by NCMIC

Addressing the Underlying Causes of Fatigue Part 2 (continued)

Dr. Chad Oler4 CE DC / 4 NutritionSponsored by Nutri Dyn

Lower Extremity Biomechanics (continued)

Dr. Kurt A. Juergens4 CE DCSponsored by Foot Levelers

Advance Pediatric Practice (continued)

Dr. Marc E. Funderlich Jr 4 CE DCSponsored by Erchonia

Differential Diagnosis of Neuromusculoskeletal Conditions (Orthopedic Diplomate)

Dr. James DemetriousFACO 5 CE DCSponsored by NCMIC

Sunday, September 27Sunday Morning Breakout Sessions

Addressing the Underlying Causes of Fatigue Part 2 (continued)8:00 am - 12:00 pmDr. Chad Oler4 CE DC/4 NutritionSponsored by Nutri Dyn

Differential Diagnosis of NMS Conditions (continued)

8:15 am - 1:00 pmDr. James Demetrious5 CE DCSponsored by NCMIC

Schedule At-A-Glance Click on each class to view more information - OR - visit our Convention Website: wichiro.org/conv_fall

| Download Printer Friendly Schedule here |

CT CERTIFICATION & MODALITY TRAINING - 23 CE CT (Approved for initial certification and renewal hours) Dr. Wendy Varish

Friday, Sept 251:00 pm - 7:00 pm CT Certification

Saturday, Sept 268:00 am - 2:00 pm CT Certification continued (Lunch included)2:00 pm - 5:00 pm CT Electrotherapy* (3 CE CT)5:00 pm - 8:00 pm CT Ultrasound* (3 CE CT)

Sunday, Sept 278:00 am - 9:00 am Thermo-Cryotherapy* (1 CE CT)9:00 am - 1:00 pm Mechanical Therapy* 4 CE CT

*Prerequisite: Current CT license or registered for 12 hour CT Certification class.

Page 6: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

Wisconsin Chiropractic Association | 2401 American Lane | Madison, WI 53704 | phone: 608.256.7023 | fax: 608.256.7123 | www.wichiro.org

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WCA Fall Convention 20202020

New Registration ProceduresRegister by the Day, Not by the Session

Aug. 21

Sept. 9

Sept. 10

Sept. 17

Early Bird Registration Closes.

Deadline to change your convention registration without penalty.

All registration by mail must be postmarked by no later than September 10.

Online, Fax and Phone Registration closes on September 17.

Early Registration DeadlinesBy registering early you are helping us assign meeting rooms and determine meal counts based on registration counts. By waiting to register until the last minute, you risk some sessions being at capacity, or the convention may be sold out. Pre-Registration will CLOSE seven (7) days prior to the event so that we have time to get everything ready.

New this Convention, you will have the opportunity to register for one day, two days, or for the full convention. Registration fees include General Session, all Seminars for the days you’ve registered for, access to Exhibits and Lunch on Friday & Saturday.

Cancellation / Refunds (UPDATE)You may make changes to your registration without penalty until September 9. Beginning September 10, a $15 administrative fee will apply to all changes, trans-fers and cancellations.

If you become ill with a fever or other COVID-like symptoms in the week before the convention, please stay home and contact us at [email protected].

Should you become ill with a fever or other COVID-like symptoms while traveling to or while at the convention, please go home immediately and contact us at [email protected].

Convention Registration Members NonmembersDC Full Convention Pass (up to 30 CE)

$319 $475

Two-Day DC Pass (up to 17 CE)

$249 $375

One-Day DC Pass (up to 9 CE)

$189 $245

Chiropractic Nutrition Module 2(12 CE DC / 12 Nutrition)

$260 $365

One-Day Staff Pass (6 Hours CE) Friday, Dr. Mario Fucinari

$175 $205

CT Certification Course A la Carte Registration Available

$335 $430

REGISTRATION FORM (PDF)REGISTER ONLINE

Any registrations received after this date will be held and processed once you arrive at the convention.

Page 7: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

Wisconsin Chiropractic Association | 2401 American Lane | Madison, WI 53704 | phone: 608.256.7023 | fax: 608.256.7123 | www.wichiro.org

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WCA Fall Convention 20202020

Complete Your CE Hours Early!CE HOURS FOR LICENSE RENEWALThe Chiropractic Examining Board has given DCs, CTs, and CRTs until the end of the 2021-22 biennium to complete their continuing education for the current license period. You can find more information about requirements for chiropractic licensing renewal on our website: www.wichiro.org/license

DC CE Hours Earn up to 30 CE DC, with Nutrition Hours available each day!

Thursday: 8 CE Hours / 8 Nutrition HoursFriday: 8 CE Hours / 8 Nutrition HoursSaturday: Up to 9 CE Hours / 8 Nutrition HoursSunday: Up to 5 CE Hours / 4 Nutrition Hours

Certification Courses:• Chiropractic Nutrition (12 CE DC/12 Nutrition) Fri-

day/Saturday• Orthopedic Diplomate (10 CE DC) Saturday/Sunday

CT CE Hours Earn 6 hours for CT Renewal on Friday or Saturday.

Friday: 6 CE CTSaturday: Register a la carte for Electrotherapy and Ultrasound.

Certification Courses• CT Certification Course and Modality Training

(23 CE CT) Friday/Saturday/Sunday

View CE Descriptions

Page 8: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

Wisconsin Chiropractic Association | 2401 American Lane | Madison, WI 53704 | phone: 608.256.7023 | fax: 608.256.7123 | www.wichiro.org

- 8 -

WCA Fall Convention 20202020WCA Fall Convention 20202020

Lodging: Kalahari ResortAmerica’s Largest Indoor Waterparks, Resorts & Convention Centers

Reserve your Room by Monday, August 24A block of rooms for the WCA Fall Convention is available until Monday, Au-gust 24. After this date, there is no guarantee that the Kalahari will continue to honor our room rates - it all depends on availability. The room rates listed rep-resent a significant discount on the Kalahari’s standard room rates. Your room reservation includes waterpark passes. The Kalahari is waiving the $29.99 re-sort fee per room per night for WCA Convention guests. Our room block filled quickly last year, so book early!

Plan your GetawayPlan a getaway they’ll never forget while you attend the WCA Fall Con-vention! From toddlers to teens and moms to dads, everyone finds their oasis at Kalahari Resorts & Conven-tions in Wisconsin Dells, WI. Your getaway can boast hair-rais-ing water slides, world-class spas, kids’ play areas, and diverse dining options. Go ahead, make everyone’s day!

Book Your RoomTo book your room, use our unique booking portal set up for the WCA Convention, or contact the Kalahari by phone at 877-253-5466 and be sure to mention the Wisconsin Chiro-practic Association Room Block.

Rates for September 23-26 Wed/Thurs Fri/SatStandard Room $115 $155

2-Room Family Suite $185 $220

RAQ $195 $240

Lodge Suite $145 $185

Village Suites $375 $495

Combination Suite $260 $340 Book Your Room Online

Page 9: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

Wisconsin Chiropractic Association | 2401 American Lane | Madison, WI 53704 | phone: 608.256.7023 | fax: 608.256.7123 | www.wichiro.org

- 9 -

WCA Fall Convention 20202020

Convention Speakers

Dr. Kurt Juergensview bio

Dr. Chad Olerview bio

Dr. Brandon Steeleview bio

Dr. James Demetriousview bio

Dr. David Seamanview bio

Dr. Wendy Varishview bio

Dr. Mario Fucinariview bio

Dr. Marisa Marcianoview bio

Dr. Caroline Seidelview bio

Dr. Marc Funderlichview bio

Dr. Don Murphyview bio

Dr. Robert Silvermanview bio

Page 10: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

Wisconsin Chiropractic Association | 2401 American Lane | Madison, WI 53704 | phone: 608.256.7023 | fax: 608.256.7123 | www.wichiro.org

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WCA Fall Convention 20202020

WCA PREMIUM PARTNERS

CONVENTION CE SPONSORS

WCA PREFERRED PARTNERS

WCA SUPPORT PARTNERS

Thank You!

Page 11: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

- STAFF REGISTRATION OPTIONS ON REVERSE –

Page 1

WWCCAA 22002200 FFAALLLL CCOONNVVEENNTTIIOONN Register by Mail: WCA, 2401 American Ln, Madison, WI 53704 Email: [email protected] | Ph: 608-256-7023 | Fax: 608-256-7123 | Online: wichiro.org

SEPT 24-27 KALAHARI RESORT WISCONSIN DELLS

DC REGISTRATION

EARLY BIRD DEADLINE AUG 21 POSTMARK DEADLINE SEPT 10 REGISTRATION CLOSES SEPT 17

MEMBERS EARLY BIRD / REG. RATE

NONMEMBERS EARLY BIRD / REG. RATE

CONVENTION PASS

FULL CONVENTION PASS (FCP)* - Up to 30 CE/16 Nutr. Includes Daily Morning Coffee, Opening General Session, Unlimited Sessions Thursday – Sunday, Exhibits, and Lunch Friday/Saturday.

$255 / $319 New This Fall!

Member FCP Early Bird Discount is 10% 20%

$427 / $475

2-DAY PASS* - Up to 17 CE Thursday/Friday Friday/Saturday Saturday/Sunday $224 / $249 $337.50 / $375

1-DAY PASS - Up to 9 CE Thursday Friday Saturday Sunday $170 / $189 $220.50 / $245

CERTIFICATION

CHIROPRACTIC NUTRITION MODULE 2 - 12 CE DC/12 Nutr. FOR INITIAL CERTIFICATION Includes Nutrition 2, Lunch each day, Exam at end of class. Fri 10:15 am–5:15 pm, Sat 8:15 am–3pm. Yes! I would like to attend the General Session on Friday, 8:00 am (no additional cost) Yes! I would like to add-on Thursday OR Sunday (circle one) for an additional fee.

$238.50 / $265

+$99

$324 / $360

+$125

*Convention Passes DO NOT include Nutrition Module 2 for Initial Certification. They DO include the option to take a portion of Nutrition 2 for Renewal Hours. AMT DUE $

SESSION REGISTRATION - Indicate which classes you plan to attend Time** CE Hours THURSDAY SEPTEMBER 24 Superhighway to Health, Dr. Rob G. Silverman 8:00 am–5:00 pm 8 CE DC/4 Nutr.

FRIDAY SEPTEMBER 25 Welcome/General Session: Applying Clinical Reasoning in Spine Pain®, Dr. Don Murphy 8:00 am–9:45 am 2 CE DC Chiropractic Nutrition 2, Dr. David Seaman (For Renewal Hours Only) AM PM ONLY 10:15 am–5:15 pm 6 CE DC/6 Nutr. Game Changers, Dr. Brandon Steele AM PM ONLY 10:15 am–5:15 pm 6 CE DC FMT Movement Specialist Course, Dr. Caroline Seidel 10:15 am–12:00 pm 2 CE DC Documentation and Patient Management Post-COVID-19, Dr. Mario Fucinari 10:30 am–12:15 pm 2 CE DC/CT Whiplash Associated Disorders: Applying Crisp® Protocols, Dr. Don Murphy 10:30 am–12:15 pm 2 CE DC Applying Crisp® in Patients w/ Cervical/Lumbar Radiculopathy, Dr. Don Murphy 1:30 pm–5:30 pm 4 CE DC 2021 Evaluation and Management Guidelines, Dr. Mario Fucinari 1:30 pm–3:15 pm 2 CE DC/CT Meeting Functional Improvement Requirements of Treatment, Dr. Mario Fucinari 3:45 pm–5:30 pm 2 CE DC/CT

SATURDAY SEPTEMBER 26 Chiropractic Nutrition 2, Dr. David Seaman (For Renewal Hours Only) 8:15 am–12:15 pm 4 CE DC/4 Nutr. The Role of Herbs and Nutrients in the Inflammatory Cascade, Dr. Marisa Marciano 8:15 am–12:15 pm 4 CE DC/4 Nutr. Lower Extremity Biomechanics, Dr. Kurt A. Juergens AM PM ONLY 8:00 am–5:00 pm 8 CE DC Advance Pediatric Practice, Dr. Marc E. Funderlich AM PM ONLY 8:30 am–5:30 pm 8 CE DC Addressing the Underlying Causes of Fatigue Part II, Dr. Chad Oler AM PM ONLY 8:00 am–5:00 pm 8 CE DC/8 Nutr. Differential Diagnosis of NMS Conditions (Orthopedic Diplomate), Dr. James Demetrious 1:15 pm–6:00 pm 5 CE DC

SUNDAY SEPTEMBER 27 Addressing Underlying Causes of Fatigue Pt 2, Dr. Chad Oler Continued from Sat 8:00 am–12:00 pm 4 CE DC/4 Nutr. Differential Diagnosis of NMS Conditions, Dr. James Demetrious Continued from Sat 8:15 am–1:00 pm 5 CE DC

**Start/End times subject to slight (15 min.) changes. A Final Detailed Agenda will be sent a few weeks prior to the event.

(OVER - ATTENDEE & PAYMENT INFORMATION ON REVERSE)

Page 12: WISCONSIN CHIROPRACTIC ASSOCIATION Fall Convention 2020 · 2020-07-14 · Chiropractic Nutrition Module 2, Day 1 Dr. David Seaman 2 CE DC/2 Nutrition Sponsored by NCMIC Game Changers:

- DC REGISTRATION OPTIONS ON REVERSE –

Page 2

WWCCAA 22002200 FFAALLLL CCOONNVVEENNTTIIOONN Register by Mail: WCA, 2401 American Ln, Madison, WI 53704 Email: [email protected] | Ph: 608-256-7023 | Fax: 608-256-7123 | Online: wichiro.org

SEPT 24-27 KALAHARI RESORT WISCONSIN DELLS

STAFF REGISTRATION

EARLY BIRD DEADLINE AUG 21 POSTMARK DEADLINE SEPT 10 REGISTRATION CLOSES SEPT 17

MEMBERS EARLY BIRD / REG. RATE

NONMEMBERS EARLY BIRD / REG. RATE

CONVENTION PASS STAFF 1-DAY PASS – FRIDAY SEPT 25, 10:30 am–5:30 pm - 6 CE DC/CT

CT Track with Dr. Mario Fucinari For CTs, Front Desk and Billing Staff. Includes: ▪ 10:30 am–12:15 pm Documentation and Patient Management Post-COVID-19 ▪ 12:15 pm–1:30 pm Lunch Included ▪ 1:30 pm–3:15 pm 2021 Evaluation and Management Guidelines ▪ 3:45 pm–5:30 pm Meeting Functional Improvement Requirements of Treatment

$157.50 / $175 $184.50 / $205

CERTIFICATION (also approved for renewal hours) COMPLETE CT Certification & Modality Training Course, Dr. Wendy Varish - 23 CE CT

Fri 1pm–7pm, Sat 8am–8pm, Sun 8am–1pm Includes Saturday Lunch & all classes below. $301.50 / $335 $387 / $430

OR REGISTER A LA CARTE CT Certification Course12 CE CT Friday 1 pm–7 pm, Saturday 8 am–2 pm $202.50 / $225 $265.50 / $295 CT Renewal ONLY 6 CE CT Saturday 8:00 am–2:00 pm (includes lunch) $157.50 / $175 $184.50 / $205 *CT Electrotherapy3 CE CT - Saturday 2:00 pm–5:00 pm $63 / $70 $85.50 / $95 *CT Ultrasound3 CE CT - Saturday 5:00 pm–8:00 pm $63 / $70 $85.50 / $95 *CT Thermo-Cryotherapy 1 CE CT - Sunday 8:00 am–9:00 am $22.50 / $25 $27 / $30 *CT Mechanical Therapy 4 CE CT - Sunday 9:00 am–1:00 pm $85.50 / $95 $117 / $130

*Prerequisite: you must register for the CT certification course, or be a previously licensed CT, to register for any of the therapeutic modality courses.

AMT DUE $

RELEASE OF LI ABI LI TY W AI VER BY SUBMITTING THIS REGISTRATION YOU AGREE TO THE FOLLOWING: I understand the WCA is working to make the Fall Convention as safe as possible in the current circumstances, including increasing the size of meeting space, requiring masks wherever feasible (especially during check in & other transitions), and limiting food and beverage options. As a health care professional, I understand and practice proper hygiene and sanitation, and will answer on-site screening questions honestly. I understand there is a risk of becoming exposed to or infected by COVID-19. I understand this may result from the actions or omissions of myself and others, including, but not limited to staff, volunteers, program participants and their families. I voluntarily agree to assume all foregoing risks and accept sole responsibility for any illness or injury to myself of any kind that I may experience in connection with attendance at the WCA Fall Convention. CA NCELLATIO N / REFUND POLICY You may cancel and receive a full refund or make changes to your registration without penalty until Sept 9. Beginning Sept 10, a $15 administrative fee will apply to all cancellations and changes to your registration. FOR THOSE RECEIVING COMPLIMENTARY CE (Students, New DCs) There is a $50 fee for cancellations the day before or the day of an event, and for no-shows. Email [email protected] to cancel, request a transfer or refund, or make other changes to your registration.

AATTTTEENNDDEEEE IINNFFOORRMMAATTIIOONN --

Please Update My Profile with the information below. Taking for: Initial Licensure Renewal WCA Member Y / N

First & Last Name ___________________________________________________________________Professional Title (DC, CT, etc.) ____________

Clinic Name ________________________________________________________ Supervising DC (Staff Only) ______________________________

Address __________________________________________________________________City/State/Zip___________________________________

Email ______________________________________________________________ Phone with area code _________ - __________ - ____________

PPAAYYMMEENNTT --

CREDIT CARD: Visa / MC / Discover / Amex CHECK#____________ Payable to WCA

Credit Card #________________________________________________________ Exp (MM/YYYY)_______ / ___________ CVV Code ____________

Name on Card ________________________________________Billing Address on Card _________________________________________________