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Registration
for the Thomas Nevola, MD Symposium
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Fees. The
registration fee for the 2007 Nevola Symposium is $75. Medicine: Category I CMEs for physicians are available through the MaineGeneral Medical Education Committee. Psychology: The program has been submitted for approval to the Board of Examiners of Psychologists for 5.5 hours of Category I credit. Chaplains: Application has been made for 5.5 Continuing Chaplaincy Education Credits from the Association of Professional Chaplains, Inc. Social Workers: The program has been submitted for approval to the Board of Social Work Licensure for 5.5 Continuing Education Units. Complementary health care providers: The program has been submitted for approval to the Board of Complementary health care providers for 5.5 Continuing Education Units. Certification of attendance will be available for other interested individuals who register as above. Please note: Most professional disciplines require that participants attend the entire conference in order to receive continuing education credit. Cancellation. We are not able to refund registration fees. If you are unable to attend, you are welcome to send someone else in your place. Networking. To promote networking, we will include a list of pre-registered participants, with contact information, in the registration packet. This contact information is provided to conference participants; we do not distribute it elsewhere. Please let us know when you register if you wish to have your name and address distributed in this way. Resource Tables. Limited space is available for organizations or individuals to display information at resource tables. As available, there is no additional charge with paid registrations. Please contact Chaplain Anderson at 626-1233 if interested. Further information. You may contact the Maine-Dartmouth Family Practice Residency office between 8AM and 5PM at 626-1889. Please also contact this office if you need special services or assistance to participate in this program. Registration by May 31 is not required, but is appreciated because it helps us to plan for food and set-up.
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2007 Nevola Symposium Registration form |
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Enclosed is registration of $75
and a contribution of $ ________ to the Tom Nevola Memorial Fund.
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