PLEASE—ONE REGISTRANT PER FORM ONLY. THANK YOU! AID …
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Seminar 2018 WEST TENNESSEE CHIROPRACTIC ASSOCIATION JANUARY 27-28, 2018 MEMPHIS MARRIOTT EAST 5795 POPLAR AVE., MEMPHIS, TN 38119 DC SESSION EXTREMITY ADJUSTING – THE CHARRETTE APPROACH 12 Hours of DC Continuing Education Available CTA SESSION LIFE HACKS FOR MORE ENERGY, LESS STRESS, TO MOVE BETTER & HURT LESS 6 Hours CTA Continuing Education BOUNDARIES, ETHICS AND JURISPRUDENCE 6 Hours of State Mandated Course Completion for New DC Licensees 2 Hours of State Mandated Course Completion for New CTA/CXT Licensees PRSRT STD U.S. Postage PAID Nashville, TN Permit No. 380 TENNESSEE CHIROPRACTIC ASSOCIATION 2123 8th Avenue South Nashville, TN 37204 ADDRESS SERVICE REQUESTED 2018 WEST SEMINAR CTA/CXT REGISTRATION INFORMATION PLEASE—ONE REGISTRANT PER FORM ONLY. THANK YOU! JANUARY 27-28, 2018 - AVAILABLE SEMINARS: CTA SEMINAR: Saturday, 8am-3pm CT CTA/CXT BOUNDARIES: Saturday, 3pm-5pm CT Attendee Name: ___________________________________________________________________ ❑ CTA - TN Lic. #: _________ ❑ CXT - TN Lic. #: _________ ❑ CA MEMBERSHIP: Chiropractic Assistants of Tennessee Member (CAT)? ❑ Yes ❑ No Practice/Doctor’s Name: ____________________________________________________________ Office Phone: ___________________________ Office Fax: _____________________________ E-mail Address: ____________________________________________________________________ Office Address: ____________________________________________________________________ City: ________________________________ State: ______________________ Zip: _____________ Emergency Contact: __________________________ Phone: ____________________________ MARRIOTT MEMPHIS EAST 57 95 POPLAR AVENUE | MEMPHIS, TN, 38119 REGISTER TODAY! PAYMENT OPTIONS Total Registration Amount Enclosed $____________ Check #: ____________ Charge my card below: CC#: _______________________________________________________________ Exp: ________ / ________ Billing Address: ______________________________________________________ Zip: __________________ Name: ___________________________________ Signature: _____________________________________ Please return this form with payment to: TCA | 2123 8th Avenue South, Nashville, TN 37204 Phone 615-383-6231 | Fax 615-383-6233 | [email protected] Registration not valid unless accompanied by payment. All fees are non-refundable and non-transferable. Please be aware that photographs may be taken throughout this event for use in future TCA approved publications, promotions, presentations, and/or any other media formats. CAT Membership (RENEWAL OR NEW) $50.00 ❑ Enclose application if new member CTA/CXT BOUNDARIES — 2 HOURS SATURDAY** ❑ Boundaries, Risk Management & Jurisprudence $75.00 CTA — 6 HOURS CE SATURDAY Early Bird (After Jan. 15) ❑ CAT Member: $100.00 ❑ NON Member: $150.00 Late/At Door (After Jan. 15) ❑ CAT Member: $150.00 ❑ NON Member: $200.00 PRINTED NOTES If you wish to receive printed notes, please add $10 to your total. I want my printed notes at registration. Only a limited amount of printed notes will be available for requests on-site. **All notes for Boundaries/Ethics courses will be provided in printed format at no charge.
Transcript of PLEASE—ONE REGISTRANT PER FORM ONLY. THANK YOU! AID …
Seminar2018 WEST
T E N N E S S E E C H I R O P R A C T I C A S S O C I A T I O N
J A N U A R Y 2 7 - 2 8 , 2 0 1 8MEMPHIS MARRIOTT EAST
5795 POPLAR AVE., MEMPHIS, TN 38119
D C S E S S I O NEXTREMITY ADJUSTING – THE CHARRETTE APPROACH
12 Hours of DC Continuing Education Available
C TA S E S S I O NLIFE HACKS FOR MORE ENERGY,
LESS STRESS, TO MOVE BETTER & HURT LESS6 Hours CTA Continuing Education
B O U N DA R I E S ,E T H I C S A N D J U R I S P R U D E N C E
6 Hours of State Mandated Course Completion for New DC Licensees2 Hours of State Mandated Course Completion for New CTA/CXT Licensees
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2018 WEST SEMINAR CTA/CXT REGISTRATION INFORMATION
PLEASE—ONE REGISTRANT PER FORM ONLY. THANK YOU!
JANUARY 27-28, 2018 - AVAILABLE SEMINARS:CTA SEMINAR: Saturday, 8am-3pm CT
CTA/CXT BOUNDARIES: Saturday, 3pm-5pm CT
Attendee Name: ___________________________________________________________________
❑ CTA - TN Lic. #: _________ ❑ CXT - TN Lic. #: _________ ❑ CA
MEMBERSHIP: Chiropractic Assistants of Tennessee Member (CAT)? ❑ Yes ❑ No
Practice/Doctor’s Name: ____________________________________________________________
Office Phone: ___________________________ Office Fax: _____________________________
E-mail Address: ____________________________________________________________________
Office Address: ____________________________________________________________________
City: ________________________________ State: ______________________ Zip: _____________
Emergency Contact: __________________________ Phone: ____________________________
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PAYMENT OPTIONS
Total Registration Amount Enclosed $____________
Check #: ____________
Charge my card below:
CC#: _______________________________________________________________ Exp: ________ / ________
Billing Address: ______________________________________________________ Zip: __________________
Name: ___________________________________ Signature: _____________________________________
Please return this form with payment to: TCA | 2123 8th Avenue South, Nashville, TN 37204Phone 615-383-6231 | Fax 615-383-6233 | [email protected]
Registration not valid unless accompanied by payment. All fees are non-refundable and non-transferable.
Please be aware that photographs may be taken throughout this event for use in future TCA approved publications, promotions, presentations, and/or any other media formats.
CAT Membership(RENEWAL OR NEW) $50.00❑ Enclose application if new member
CTA/CXT BOUNDARIES — 2 HOURSSATURDAY**❑ Boundaries, Risk Management & Jurisprudence $75.00
CTA — 6 HOURS CESATURDAYEarly Bird (After Jan. 15)❑ CAT Member: $100.00❑ NON Member: $150.00
Late/At Door (After Jan. 15)❑ CAT Member: $150.00❑ NON Member: $200.00
PRINTED NOTESIf you wish to receive printed notes, please add
$10 to your total.
� I want my printed notes at registration.
Only a limited amount of printed notes will be availablefor requests on-site.
**All notes for Boundaries/Ethics courses will be provided inprinted format at no charge.
EXTREMITY ADJUSTING –THE CHARRETTE APPROACH
JANUARY 27-28, 201812 Hours of DC Continuing Education
Saturday: 8am-5pm CT | Sunday: 8am-12pm CT
INSTRUCTOR: MARK CHARRETTE, DCThis 12-hour presentation covers basic biomechanics, neurology, examination procedures, indicators, and adjusting protocols for the most common subluxation patterns of the feet, knees, hips, wrists, elbows, and shoulders that are found inthe typical chiropractic practice.
This course is a "hands-on" workshop designed for the doctor to quickly acquire adjusting skills for the most commonly encountered extremity conditions.Also covered in this course are simple stabilization and rehabilitative procedures for the extremities.
DC BOUNDARIES ETHICS AND JURISPRUDENCE6 Hours State Mandated Course Completion for DC New Licensees
SATURDAY, JANUARY 27, 2018 | 8pm-3pm CT
The Tennessee Board of Chiropractic Examiners requires all newly licensedTennessee Chiropractors to obtain a one-time six (6) hour Board approved course in risk management, sexual/professional boundaries, and Tennessee statutory and regulatory chiropractic jurisprudence. This course is designedto help the newly licensed chiropractor more clearly understand all issues surrounding the profession of chiropractic in Tennessee.
TCA DISTRICT MEETINGSATURDAY, JANUARY 27, 2018 | 12pm-1pm CT
Please join TCA President, Dr. RJ Crawford and TCA Executive Director,Tiffany Stevens as they present timely updates for 2018 including nationaland statewide legislative efforts. The meeting will be held during the lunch break on Saturday. All seminar attendees are encouraged to attend!We request that you RSVP for this free luncheon to assist us in having an accurate count for seating and food. You may RSVP to the TCA office at(615) 383-6231 or by email to [email protected]. We hope to see you there!
CTA/CXT BOUNDARIES, ETHICS AND JURISPRUDENCE
2 Hours State Required Course Completion for CTA/CXT New Licensees
SATURDAY, JANUARY 27, 2018 | 3pm-5pm CT
The Tennessee Board of Chiropractic Examiners requires all licensed Chiropractic Therapy Assistants (CTAs) and Chiropractic X-ray Technologists (CXTs) to attend a one-time, two (2) hour course. This course will coversexual boundaries, risk management, and jurisprudence. This seminar is designed to help newly licensed CTAs and CXTs define all issues surrounding those boundaries.
LIFE HACKS FOR MORE ENERGY,LESS STRESS, TO MOVE BETTER & HURT LESS
JANUARY 27, 20186 Hours of CTA Continuing Education
Saturday: 8am-3pm CT
INSTRUCTOR: JD HASENBANK, DC, CCSPSometimes the best hacks in life are the simple ones;little modifications you never thought of but completely make sense once somebody teaches you, you put them to use andsee the results. Learn these simple tips and tricks to upgrade your choices, habits, postures, preferences and overall lifestyle.
Not only will you notice the improvements they make in your life; you will receive positive feedback as you teach them to your friends, family and patients
CTA STATE EXAMSATURDAY,
JANUARY 27, 20182:00pm CT
The Chiropractic Therapy Assistant Exam will be offered at
this site in Memphis on Saturday.
You must apply prior to Friday,
January 12, 2018. Please fax
your Exam Application (included
with your 50 Hour Program) and
exam fee to (615) 383-6233
(please mail form with check
payments) or contact the
TCA at 615-383-6231 with
any questions.
TCA NOTES GO PAPERLESS!Unless otherwise requested,
all notes will be provided electronically.We will provide registered attendees with access to download their notes on-line prior to the seminar.
IF YOU WISH TO RECEIVE PRINTED NOTES,PLEASE ADD $10 TO YOUR TOTAL.
❑ I want to pick up my printed notes at registration.
Only a limited amount of printed notes will be available for requests on-site.**All notes for Boundaries/Ethics courses will be provided in printed form at no charge.
KNOW BEFORE YOU GO:All “green” seminar notes will be available on-line through TNChiro.com. Prior to the event, you will receive an email that includes information and directions to download your seminar notes. Please download your notes in advance of the seminar.
LAPTOPS/IPADS WELCOME:Please feel free to bring your electronic device to view and follow along with your downloaded notes.*As a policy, New Licensee attendees will receive printed notes.
LIFE HLESS STRESS, TO M
JANUA6 Hours of CTA
Saturda
INSTRUCTOR:
Seminar2018 WEST 2018 WEST SEMINARDOCTORS REGISTRATION INFORMATIONPLEASE—ONE REGISTRANT PER FORM ONLY. THANK YOU!
JANUARY 27-28, 2018 - AVAILABLE SEMINARS:DOCTOR SEMINAR: Saturday, 8am-5pm CT , Sunday, 8am-12pm CT
DOCTOR BOUNDARIES: Saturday, 8am-3pm CT
Attendee Name: ___________________________________________________________________
❑ DC - TN Lic. #: _________ MEMBERSHIP: TCA Member? ❑ Yes ❑ No
Office Phone: _____________________________ Office Fax: ___________________________
E-mail Address: ____________________________________________________________________
Office Address: ____________________________________________________________________
City: ________________________________ State: ______________________ Zip: _____________
Emergency Contact: __________________________ Phone: ____________________________
12 HOURS CESATURDAY AND SUNDAYEarly Bird (Prior to Jan. 15)
❑ TCA Member: $250.00❑ NON Member: $350.00
Late/At Door (After Jan. 15)
❑ TCA Member: $300.00❑ NON Member: $400.00
8 HOURS CE — SATURDAY ONLYEarly Bird (Prior to Jan. 15)
❑ TCA Member: $170.00 ❑ NON Member: $240.00
Late/At Door (After Jan. 15)
❑ TCA Member: $220.00❑ NON Member: $290.00
4 HOURS CE — SUNDAY ONLYEarly Bird (Prior to Jan. 15)
❑ TCA Member: $ 85.00❑ NON Member: $120.00
Late/At Door (After Jan. 15)
❑ TCA Member: $135.00❑ NON Member: $170.00
DOCTOR BOUNDARIES — 6 HOURSSATURDAY**❑ Boundaries, Risk Management & Jurisprudence $150.00
SUBTOTAL DUE $____________
RSVP FOR LUNCHEON❑ _______ how many people
PAYMENT OPTIONS
Total Registration Amount Enclosed $____________
Check #: ____________
❑ Gold Member Benefit or Charge my card below:
CC#: _______________________________________________________________ Exp: ________ / ________
Billing Address: _____________________________________________________ Zip: __________________
Name: ___________________________________ Signature: _____________________________________
Please return this form with payment to: TCA | 2123 8th Avenue South, Nashville, TN 37204Phone 615-383-6231 | Fax 615-383-6233 | [email protected]
Registration not valid unless accompanied by payment. All fees are non-refundable and non-transferable.
Please be aware that photographs may be taken throughout this event for use in future TCA approved publications, promotions, presentations, and/or any other media formats.
PRINTED NOTESIf you wish to receive printed notes, please add
$10 to your total.
� I want my printed notes at registration.
Only a limited amount of printed notes will be availablefor requests on-site.
**All notes for Boundaries/Ethics courses will be provided inprinted format at no charge.
