co m p u t e d t - edusymp.com

Academic Faculty

James C. Anderson, M.D.Associate ProfessorChief of NeuroradiologyResidency Director Diagnostic RadiologyDepartment of RadiologyOregon Health & Science UniversityPortland, OR

Jeffrey L. Creasy, M.D., FACRAssociate Professor, NeuroradiologyDepartment of RadiologyVanderbilt University Medical Center

Jaydip Datta, M.D.Director, Cardiovascular MRI and CTQuantum Radiology NorthwestMarietta, GAAdjunct Assistant Professor of RadiologyVanderbilt University

Tony DeFrance, M.D.Medical DirectorCVCTA EducationSan Francisco, CASCCT Treasurer, Board of DirectorsClinical Associate ProfessorStanford University School of MedicineStanford, CA

Elliot K. Fishman, M.D., FACRProfessor of Radiology and Oncology Director, Diagnostic Radiology and Body CT Johns Hopkins HospitalBaltimore, MD

W. Dennis Foley, M.D.Professor of Radiology Director, Section of Digital Imaging Medical College of Wisconsin

Donald P. Frush, M.D., FACR, FAAPProfessor of Radiology and Pediatrics Chief, Pediatric Radiology Department of Radiology Duke University Medical Center Durham, NC

Richard T. George, M.D.Assistant Professor of MedicineDivision of CardiologyJohns Hopkins UniversityBaltimore, MD

S. Bruce Greenberg, M.D.ProfessorDepartment of RadiologyUniversity of Arkansas for Medical Sciences & Arkansas Children’s Hospital

Blake A. Johnson, M.D.Director of NeuroimagingCenter for Diagnostic ImagingMinneapolis, MN

Anna S. Lev-Toaff, M.D.Professor of Radiology Department of Radiology Hospital of University of PennsylvaniaPhiladelphia, PA

Harold Litt, M.D., Ph.D.Assistant Professor of Radiology and MedicineChief, Cardiovascular Imaging SectionDepartment of RadiologyUniversity of Pennsylvania School of MedicinePhiladelphia, PA

Murray J. Mazer, M.D.Associate ProfessorInterventional RadiologyRadiology and Radiological SciencesVanderbilt University Medical Center

Rendon C. Nelson, M.D., FACRReed and Martha Rice Professor of RadiologyDivision of Abdominal ImagingDuke UniversityDurham, NC

Joel D. Neuman, M.D.Director Interventional RadiologyNazareth Imaging AssociatesPhiladelphia, PA

William W. Orrison, M.D., MBAChief of NeuroradiologyNevada Imaging CentersClinical ProfessorUniversity of Nevada School of MedicineUniversity of Nevada Las VegasTouro University Nevada Las Vegas, NV

James M. Provenzale, M.D.Professor of Radiology Duke University Medical Center andProfessor of Radiology, Biomedical Engineering and Oncology Emory University School of Medicine

Jonas Rydberg, M.D.Professor of Clinical RadiologyIndiana UniversityMedical DirectorDepartment of RadiologyMethodist HospitalIndianapolis, IN

Dushyant V. Sahani, M.D.Director, CT Imaging ServicesMassachusetts General HospitalAssociate Professor of RadiologyHarvard Medical School

Marilyn J. Siegel, M.D., FACRProfessor of Radiology and Pediatrics Mallinckrodt Institute of RadiologyWashington University School of Medicine

Jorge A. Soto, M.D.Vice Chairman of RadiologyProfessor of RadiologyBoston University School of MedicineBoston, MA

Lawrence N. Tanenbaum, M.D., FACRDirector MRI, CT and Outpatient/Advanced DevelopmentMount Sinai School of MedicineNew York, NY

Michael W. Vannier, M.D.ProfessorDepartment of RadiologyUniversity of Chicago Medical Center

Charles S. White, M.D.Professor of Radiology and MedicineChief of Thoracic RadiologyVice Chair, Clinical AffairsUniversity of Maryland

Max Wintermark, M.D.Associate Professor of Radiology, Neurology and NeurosurgeryDirector, Neuroradiology DivisionUniversity of Virginia, Department of RadiologyCharlottesville, VA

Steven D. Wolff, M.D., Ph.D.Director of Advanced Cardiovascular ImagingAssistant Professor of Medicine and RadiologyColumbia University, College of Physicians and SurgeonsNew York, NY

Technical Faculty

Sholom AckelsbergGeneral Manager, Global CT & Functional Imaging ResearchGE Healthcare

Jared BeckmanProduct Marketing SpecialistComputed Tomography DivisionSiemens Medical Solutions USA, Inc.

Kirsten L. Boedeker, Ph.DManager of Clinical Sciences, CTToshiba America Medical Systems, Inc.

William RadajVice President & General ManagerCT Sales and MarketingPhilips Healthcare

Faculty

If you receive more than one brochure, please pass the extra along to a colleague.

Educational ObjectivesAt the completion of this DVD CME series, subscribers should be able to:• RecognizetheCTappearanceofnormalanatomyandcommonpathology.• ApplytheconceptsandapplicationsofcontrastenhancedCTtoclinicalpractice.• ImplementappropriateCTcolonographyprotocolsintopractice.• Identifyappropriateindicationsformulti-slice/helicalCTintheevaluationofpatientswith various neurovascular, cardiovascular and body disorders.• Describecurrentindicationsandtechniquesforevaluationofthespine.• Incorporatedoseminimizingprotocolsandtechniquesformulti-slice/helicalCTprocedures.• Integratemulti-slice/helicalCTimagingprotocolsfortheassessmentcoronaryarteryand cardiac disease into clinical practice

No special educational preparation is required for this CME activity.

About this DVD SeriesAdvancements in multi-slice helical CT imaging techniques and applications are constantly evolving. From increased image quality, and shorter scan times to lower exposure dose, physicians and patients reap the benefits. This course is designed to deliver a practical, clinically relevant review of the progression of multi-slice helical CT. Tips, techniques, and expanded clinical applications are covered. Protocols are discussed so that subscribers can apply the benefits of multi-slice helical CT to their own clinical practice. When appropriate, comparisons will be made with other modalities.

Target AudienceThis CME activity is primarily intended and designed to educate diagnostic imaging physi-cians. However, the CME activity should also be useful in educating referring physicians who order CT procedures. Subscribers are not re-quired to have any prior CT experience.

Scientific SponsorEducational Symposia

AccreditationPhysicians: Educational Symposia is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians.

Educational Symposia designates this educational activity for a maximum of 44 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Each DVD is designated for two category 1 credits. The time necessary to complete the series is 44 hours. The time necessary to complete each DVD is two hours.

Technologists: No Category A CE credit is available for this series.

All DVD course participants are required to take a test in order to be awarded credit. (Exam materials, if ordered, will be sent with your DVD order.) All DVD course participants will also have the opportunity to critically evaluate the program as it relates to practice relevance and educational objectives.

AMA PRA Category 1 Credit(s)TM for these programs may be claimed until February 28, 2013.

This DVD series was planned and produced by Educational Symposia, the leader in diagnostic imaging education since 1975.

This DVD series was planned and produced in accordance with the ACCME Essential Areas and Elements.

Order Online and SaveFor every dollar spent through Educational Symposia’s website an

ESI POINT is earned. Use points towards future meeting registrations or DVD orders. Visit www.edusymp.com and click on the Help Center

tab to learn more and sign up to start earning ESI POINTS Today!

DVD teaching programs feature a distinctive production process termed “Digital Studio Enhancement” including

• Postprocesseddiagnosticimages• Clearlyvisiblepathologyandanatomy• Improvedgraphicandtextlegibility• Electronicpointercorrelationwithspeaker'sindications

This production process is exclusive to Educational Symposia DVD programs.

Educational SymposiaRelease Date: March 1, 2010

A DVD Teaching Program

44 AMA PRA Category 1 CreditstM

Superior image QualityFree SyllaBuS with purchaSe oF entire Set

computed tomography

GeneralCT

16 Hours

NeuroCT

4 Hours

Cardiac and Chest CT

14 Hours

BodyCT

10 Hours

GeneralCT

NeuroCT

Academic Faculty

Technical Faculty

Faculty

computed tomography

GeneralCT

16 Hours

NeuroCT

4 Hours

14 Hours

BodyCT

10 Hours

GeneralCT

NeuroCT

Academic Faculty

Technical Faculty

Faculty

computed tomography

GeneralCT

16 Hours

NeuroCT

4 Hours

14 Hours

BodyCT

10 Hours

GeneralCT

NeuroCT

PRogRAM 1 .......................... $225PRogRAM 2 .......................... $225PRogRAM 3 .......................... $225PRogRAM 4 .......................... $225PRogRAM 5 .......................... $225PRogRAM 6 .......................... $225PRogRAM 7 .......................... $225PRogRAM 8 .......................... $225PRogRAM 9 .......................... $225PRogRAM 10 ........................ $225PRogRAM 11 ........................ $225PRogRAM 12 ........................ $225

PRogRAM 13 ........................ $225PRogRAM 14 ........................ $225PRogRAM 15 ........................ $225PRogRAM 16 ........................ $225PRogRAM 17 ........................ $225PRogRAM 18 ........................ $225PRogRAM 19 ........................ $225PRogRAM 20 ........................ $225PRogRAM 21 ........................ $225PRogRAM 22 ........................ $225BonuS PRogRAM* ................ FREE

Additional Syllabus ______ at $95.00 EachFor orders sent to a Florida address, please add 7% sales tax

For orders sent to a California address, please add 8.75% sales tax

Optional FedEx Shipping Methods: Priority Overnight* ($75) 2nd Day* ($45) 3rd Day* ($30)

For orders shipped outside the United States, Canada or Mexico, add $175 for shippingNumber of CME applications requested (1 CME application required per person) ______at $95 each

TOTALS

*Delivery times are business days only.

Number of DVD CME Packs requested ______at $275 each

CME is not included in the purchase price.

CTV10Name______________________________________________________________________

Degree M.D. D.O. Ph.D. RDMS Other_______________________________

Specialty____________________________________________________________________

Facility/Organization __________________________________ Dept. _______________________

Street Address ___________________________________________________________

City_______________________________________________ State __________ Zip ________

Phone _______________________________________ Fax ____________________________

E-mail______________________________________________________________________

Mail Brochure Panel Code______________________

Please make checks payable to Educational Symposia, and mail with this completed form to: Educational Symposia, 5620 West Sligh Avenue, Tampa, Florida 33634-4490. For further information, call (800) 338-5901 (toll-free, U.S. & Canada) or (813) 806-1000 (direct) or e-mail at [email protected]. You may also fax this form to (800) 344-0668 (toll-free, U.S. & Canada) or (813) 806-1001 (direct).

First Middle Last

HOw wOUlD YOU likE tO RECEiVE FUtURE MEEtiNg AND DVD ANNOUNCEMENtS? Mail Only E-mail Only Both Mail and E-mail

(Your signature is your authorization to charge this credit card.)

PAyMEnT InFoRMATIon: Check Enclosed Charge to Credit Card:

Card Number____________________________________________________Expires _________

Card Security Code*__________

Signature___________________________________________IF CREDIT CARD nAME oR BILLIng ADDRESS DIFFERS FRoM THE ADDRESS LISTED ABoVE, PLEASE PRoVIDE THE CoRRECT BILLIng ADDRESSName on Card _________________________________________________________________Billing Address_________________________________________________________________City________________________________________________State___________Zip_______

Payable to: Educational Symposia

*In order to process your registration we will need the security code on your credit card. If you have a Mastercard, Visa or Discover the 3 digit code will be found on the back of your card in the space provided for your signature (it will be the last 3 digits shown). American Express prints their 4 digit security code on the front of the card above the last digit of your AMEX number.

ORDER BY CREDIT CARD Fax (800) 344-0668 or call (800) 338-5901 (toll-free, u.S. & Canada)

If you wish to receive email notification of your FedEx shipment, please provide your email address.

Sorry, No P.O. Boxes. We cannot be responsible for nondelivery when we receive an incorrect address. We ship FedEx when possible. Signature required.

HOME OFFICE

**Order Online and Save: Save $20 by providing the Brochure Code on the mail panel just above your name (only the last two digits before the number symbol # are needed)**

44 AMA PRA Category 1 Credit(s)TM Available until March 1, 2013

Price includes standard shipping (FedEx ground) & handling charges within the continental United States.

Payment must be in U.S. dollars.

FREE SYllABUS with purchase of entire set or subset

Superior image Quality

EntirE SEt....................................................................................................................................$2195

Please send the following checked items:

(With Purchase Of Entire Set Or Subset. $225 If Purchased Separately)*Not Accredited for AMA PRA Category 1 Credit(s)TM

BoDy CT SET FouR / 18-2210 AMA PRA Category 1 CreditsTM

CARDIAC AnD CHEST CT SET THREE / 11-17

14 AMA PRA Category 1 CreditsTM

nEuRo CT SET TWo / 9-104 AMA PRA Category 1 CreditsTM

gEnERAL CT SET onE / 1-816 AMA PRA Category 1 CreditsTM

4 EASy WAyS To oRDER

Mailing liSt OptiOnSReduce Your Mail Clutter!

Or Just Add E-mail Announcements!We are pleased to be able to send you brochures by e-mail informing you of our latest meetings and CME programs. You have the choice of providing your e-mail address, your mailing address or both to receive the brochures. Visit the “Mailing List” section of our website to subscribe (www.edusymp.com) or call 1-800-338-5901 and please tell us that you wish to receive brochure announcements by e-mail, mail or both.

Internet Order online & SAVE*! using your credit card number at: http://www.edusymp.com

Fax your order form to: (800) 344-0668 (toll-free, U.S. & Canada) or (813) 806-1001 (direct). Please include your MasterCard, VISA, NOVUS/Discover Card or American Express information, including a signature.

Phone (800) 338-5901 (toll-free, U.S. & Canada) or (813) 806-1000 (direct). Please have your MasterCard, VISA, NOVUS/Discover Card or American Express information available.

Mail your order form, along with your credit card number and signature or check payable to Educational Symposia, to:

Educational Symposia 5620 West Sligh Avenue Tampa, Florida 33634-4490

WE ACCEPT:

Secure WebSite

*See order form for details.

DVD CME PacksEducational Symposia is constantly exploring ways to better serve our customers. Subscribers of our DVD CME teaching programs asked for a simpler way to share a DVD Teaching Program. We listened and are excited to introduce the DVD CME Pack.

Here’s how it works. Purchase the original DVD teaching program then order as many DVD CME Packs as needed at a significantly reduced price. It really is that simple!

Educational Symposia’s innovative DVD CME Packs allow each participating physician to own his/her set of DVDs. Having their own set provides the opportunity to view at their convenience and add to their personal reference library. DVD CME Packs are priced to make it a practical alternative to “waiting in line” to receive the next DVD.

Each DVD CME Pack contains:•Anentire set of DVDs in a convenient case designed for durability and ease of access •OneCMEapplicationandtest• Aoneortwovolumesyllabus(dependingontheseries).Syllabusisincludedinthepurchasepricebutis

not enclosed in the DVD CME case.

See order form to order a DVD CME Pack for this series. To order a DVD CME Pack for a previously purchased DVD teaching program, visit us online at www.edusymp.com, call toll free (800) 338-5901.

Multiple CME Subscribers…… Educational Symposia DVD Teaching Programs are accredited for AMA PRA Category 1 CreditsTM for three years from the original release date. Once the initial order is placed, the number of CME applications and/or DVD CME Packs that can be ordered is limitless. Simply call (800) 338-5901 or access our website at www.edusymp.com and reference the name of the person or facility of the originating order. See order form for pricing.

Cancellation PolicyIf you are not satisfied with your purchase, you may return your purchase (or any portion of your pur-chase) within 15 days of receiving it. You will receive a refund for the portion that is returned less a $125 processing fee. If you are returning/cancelling multiple DVD series, please note the $125 fee applies to each series. If your purchase was sent express, the additional shipping charges will NOT be refunded. No refunds can be made after 15 days. All cancellations must be in writing. CME credit cannot be granted on the portion of the purchase that is returned.

Program

NEW!! Purchase and Submit Your CME Application | Critique | Test Package Online.Visit www.edusymp.com and see ESI events and information for details.

Faculty & topics subject to change.

Program 12

Cardiac CT – Getting Started Jaydip Datta, M.D.

Prospective ECG GatingRichard T. George, M.D.

CTA of the Extra-coronary HeartCharles S. White, M.D.

Clinical Cases and Interesting FindingsJaydip Datta, M.D.

Program 13

Indications and Contraindications for Cardiac CTAMurray J. Mazer, M.D.

Calcium Scoring: Is There A Role?Steven D. Wolff, M.D., Ph.D.

Aortic Stent Grafts: Preoperative Evaluation and Post Operative ImagingW. Dennis Foley, M.D.

Program 14

Coronary CT in the Emergency DepartmentHarold Litt, M.D., Ph.D.

Cardiac CT – The Cutting EdgeCharles S. White, M.D.

CT and CT Angiography of Ruptured Thoraco-Abdominal Aortic AneurysmW. Dennis Foley, M.D.

Program 15

Multislice Post-Op Evaluation of AAA Following Endovascular Repair Jonas Rydberg, M.D.

Thoracic Aortic CTA with Interactive Workstation ReviewMurray J. Mazer, M.D.

Other Causes of Chest Pain: Acute Aortic Syndromes and Pulmonary EmbolismHarold Litt, M.D., Ph.D.

Program 16

Coronary CTA: Clinical Application and Interpretation Including Interactive Workstation Review Steven D. Wolff, M.D., Ph.D.

Congenital Heart DiseaseS. Bruce Greenberg, M.D.

Program 16 (Continued)

CT of Congenital Lung Anomalies: Infants to AdultsMarilyn J. Siegel, M.D., FACR

Cardiac CTA Acquisition Tips and TricksTony DeFrance, M.D.

Program 17

Aorto-Iliac CT AngiographyW. Dennis Foley, M.D.

CTA of the Thoracic AortaJaydip Datta, M.D.

Cross-Sectional Anatomy of the Heart with Interactive Workstation ReviewRichard T. George, M.D.

Body (18 – 22)

Program 18

Techniques for Spiral/ Helical CT of the LiverRendon C. Nelson, M.D., FACR

Characteristics of Focal Liver LesionsJorge A. Soto, M.D.

MDCT Evaluation of the SpleenElliot K. Fishman, M.D., FACR

CT/CTA and Mesenteric IschemiaW. Dennis Foley, M.D.

Program 19

CT Enterography: Technique and Clinical ApplicationsJorge A. Soto, M.D.

MDCT/ CTA of the Kidneys Elliot K. Fishman, M.D., FACR

CT Colonography: An Update with Interactive Workstation ReviewJorge A. Soto, M.D.

Program 20

Helical/ Spiral CTA of the Abdomen and PelvisRendon C. Nelson, M.D., FACR

CT of the Gastrointestinal TractAnna S. Lev-Toaff, M.D.

New Concepts in MDCT for the Diagnosis and Management of Kidney Stone DiseaseDushyant V. Sahani, M.D.

MDCT Pancreatography Michael W. Vannier, M.D.

Program 21

MDCT of Pancreas Cystic Tumor: Classification and ManagementDushyant V. Sahani, M.D.

CT in Obstetrics and GynecologyAnna S. Lev-Toaff, M.D.

CT of the Acute Abdomen with Interactive Workstation ReviewElliot K. Fishman, M.D., FACR

Program 22

Bariatric CT of the Extremely Obese PatientMichael W. Vannier, M.D.

Challenging Cases in Abdominal and Pelvic CT Anna S. Lev-Toaff, M.D.

Tumor Response Assessment and Monitoring Angiogenesis with CTDushyant V. Sahani, M.D.

Dual Energy Multidetector CT Applications in the Abdomen and Pelvis Rendon C. Nelson, M.D., FACR

Bonus Program (Not Accredited for AMA PRA

Category 1 CreditsTM)

Multislice CT Equipment: Present Capabilities and Future Directions

Toshiba America Medical Systems, Inc.Kirsten L. Boedeker, Ph.D.

Siemens Medical SolutionsJared Beckman

Philips HealthcareWilliam Radaj

GE HealthcareSholom Ackelsberg

General (1 – 8)

Program 1

Basics of Multidetector CT ImagingMax Wintermark, M.D.

Modern CT Imaging of Carotid Atherosclerotic Disease Max Wintermark, M.D.

Taking a Systematic Approach to Peripheral Vascular Disease with Interactive Workstation ReviewTony DeFrance, M.D.

CT Dose Considerations in Adult ImagingWilliam W. Orrison, M.D., MBA

Program 2

Assessment and Treatment Planning of Vascular Abnormalities with CTA – Part 1Joel D. Neuman, M.D.

State of the Art CT Methods and Results Michael W. Vannier, M.D.

High Resolution CT of the Paranasal SinusesBlake A. Johnson, M.D.

Program 3

Assessment and Treatment Planning of Vascular Abnormalities – Part 2Joel D. Neuman, M.D.

The Language of CT Volume Data Processing James C. Anderson, M.D.

Pediatric MDCT/CTA: Techniques and TacticsDonald P. Frush, M.D., FACR, FAAP

Post Intervention Complications and Pelvic and Peripheral CT AngiographyJoel D. Neuman, M.D.

Program 4

Musculoskeletal CTElliot K. Fishman, M.D., FACR

Volume CT Scanning in ChildrenS. Bruce Greenberg, M.D.

Optimizing Techniques for CTAJoel D. Neuman, M.D.

CT Perfusion – Other UsesJames C. Anderson, M.D.

Program 5

Multislice CT – Pulmonary Embolism and DVTJonas Rydberg, M.D.

MDCT Perfusion Imaging of Solid TumorsMichael W. Vannier, M.D.

256 Slice CT – 11 Month ExperienceJonas Rydberg, M.D.

Program 6

Imaging the Infrahyoid Neck Blake A. Johnson, M.D.

Current Multislice Evaluation of Facial TraumaJeffrey L. Creasy, M.D., FACR

Imaging of the Suprahyoid Neck Blake A. Johnson, M.D.

CT and Pregnancy: A Practical ApproachDonald P. Frush, M.D., FACR, FAAP

Program 7

The Role of CT in the Acute Abdomen in Children Donald P. Frush, M.D., FACR, FAAP

64 MDCT Angiography of Extremity TraumaJorge A. Soto, M.D.

Multi-detector CT of Spine TraumaJames C. Anderson, M.D.

Multislice CT Musculoskeletal ApplicationsJonas Rydberg, M.D.

Program 8

Modern Head Trauma ImagingMax Wintermark, M.D.

Paranasal Sinus Disease and FESSJeffrey L. Creasy, M.D., FACR

Imaging of the Solitary Pulmonary NoduleCharles S. White, M.D.

Multi-detector CT of the Non-traumatic Spine with WorkstationJames C. Anderson, M.D.

Neuro (9 – 10)

Program 9

Computed Tomography of Neurological and Oncological ConditionsJames M. Provenzale, M.D.

CT Evaluation of “Worst Headache of Life”James M. Provenzale, M.D.

Advanced CT of Acute Stroke with Interactive Workstation ReviewLawrence N. Tanenbaum, M.D., FACR

Program 10

Advanced CT Brain ImagingWilliam W. Orrison, M.D., MBA

CT Angiography: Issues and Indication in Neurological DiseaseLawrence N. Tanenbaum, M.D., FACR

Computed Tomography of Brain TraumaJames M. Provenzale, M.D.

Current Evaluation of Subarachnoid HemorrhageJeffrey L. Creasy, M.D., FACR

Cardiac and Chest (11 – 17)

Program 11

Coronary CTA: Basic Principles, Anatomy, and TechniqueSteven D. Wolff, M.D., Ph.D.

Protocols for Beta Blockade and Calcium Channel BlockersMurray J. Mazer, M.D.

Common Findings in Cardiac CTTony DeFrance, M.D.

CT Perfusion Imaging as an Adjunct to CT AngiographyRichard T. George, M.D.

2010ComputedTomographyA DVD Teaching Program

TOTALS

CTV10Name______________________________________________________________________

Specialty____________________________________________________________________

Street Address ___________________________________________________________

City_______________________________________________ State __________ Zip ________

Phone _______________________________________ Fax ____________________________

E-mail______________________________________________________________________

First Middle Last

HOME OFFICE

EntirE SEt....................................................................................................................................$2195

WE ACCEPT:

Secure WebSite

Program

Program 12

Program 13

Program 14

Program 15

Program 16

Program 17

Body (18 – 22)

Program 18

Program 19

Program 20

Program 21

Program 22

General (1 – 8)

Program 1

Program 2

Program 3

Program 4

Program 5

Program 6

Program 7

Program 8

Neuro (9 – 10)

Program 9

Program 10

Program 11

TOTALS

CTV10Name______________________________________________________________________

Specialty____________________________________________________________________

Street Address ___________________________________________________________

City_______________________________________________ State __________ Zip ________

Phone _______________________________________ Fax ____________________________

E-mail______________________________________________________________________

First Middle Last

HOME OFFICE

EntirE SEt....................................................................................................................................$2195

WE ACCEPT:

Secure WebSite

Program

Program 12

Program 13

Program 14

Program 15

Program 16

Program 17

Body (18 – 22)

Program 18

Program 19

Program 20

Program 21

Program 22

General (1 – 8)

Program 1

Program 2

Program 3

Program 4

Program 5

Program 6

Program 7

Program 8

Neuro (9 – 10)

Program 9

Program 10

Program 11

TOTALS

CTV10Name______________________________________________________________________

Specialty____________________________________________________________________

Street Address ___________________________________________________________

City_______________________________________________ State __________ Zip ________

Phone _______________________________________ Fax ____________________________

E-mail______________________________________________________________________

First Middle Last

HOME OFFICE

EntirE SEt....................................................................................................................................$2195

WE ACCEPT:

Secure WebSite

Program

Program 12

Program 13

Program 14

Program 15

Program 16

Program 17

Body (18 – 22)

Program 18

Program 19

Program 20

Program 21

Program 22

General (1 – 8)

Program 1

Program 2

Program 3

Program 4

Program 5

Program 6

Program 7

Program 8

Neuro (9 – 10)

Program 9

Program 10

Program 11

co m p u t e d t - edusymp.com

Documents

Transcript of co m p u t e d t - edusymp.com