Registration for Key Essentials for Optimizing Patient Care 2015-2016

Fill out and submit the form below to secure a seat in your preferred block. Payment should be submitted separately either by phone (credit card) or by mail (check). See instructions below.

(* Required Fields)

I Want to Participate Onsite Only

Six Block, Onsite Series
  • Including Cardiology, OMM/Pain, Infectious Disease, Primary Care, Psychiatry, Geriatrics/Palliative Care

    Subscription Price:

    • $395 prior to August 1, 2015
    • $495 after August 1, 2015
Single Blocks for Onsite Attendance

Please enroll me in these individual blocks for onsite participation:

  • September 12, 2015
    at The Westin, Mt Laurel

  • September 19, 2015

  • October 10, 2015

  • November 14, 2015
    The Mansion on Main Street, Voorhees

  • December 5, 2015

  • January 9, 2016

Individual event price:

  • $99/ea prior to August 1
  • $149/ea after August 1

I Want to Participate Online Only

Four Block, Online Series
  • Including OMM/Pain, Infectious Disease, Psychiatry, Geriatrics/Palliative Care

    Subscription Price:

    • $249 prior to August 1, 2015
    • $349 after August 1, 2015
Single Blocks for Online Attendance

Please enroll me in these individual blocks for onsite participation:

  • September 19, 2015

  • October 10, 2015

  • December 5, 2015

  • January 9, 2016

Individual event price:

  • $99/ea prior to August 1
  • $149/ea after August 1

I Want to Combine Onsite and Online Participation

  • Cardiology, September 12, 2015, The Westin, Mt. Laurel
  • OMM/Pain, September 19, 2015, RowanSOM, Stratford
  • Infectious Disease, October 10, 2015, RowanSOM, Stratford
  • Primary Care Topics, November 14, 2015, The Mansion, Voorhees
  • Psychiatry, December 5, 2015, RowanSOM, Stratford
  • Geriatrics/Palliative Care, January 10, 2016, RowanSOM, Stratford

Series Price:

  • $495 before August 1, 2015
  • $595 after August 1, 2015
*Indicate Method of Payment:

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