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PAYMEnT METHOd❑ Check Enclosed to: ChiroHealth Educational Seminar❑ Mastercard ❑ Visa
Account #_______________________________________________________________________________________
Exp. Date_______________Security Code_______________
Name__________________________________________________________________________________
Signature_______________________________________________________________________________Please copy for your files (as printed on card)
(Last three digits of code on back of card)
SEATInG IS LIMITEdContact ChiroHealth
Educational Seminarswith questions.
(440) 449-1020
TO REGISTER BY MAIL OR FAX (no phone registration)
• Mailcompletedregistrationformwithpaymentto: ChiroHealth Educational Seminars P. O. Box 85, Gates Mills, OH 44040 Tel: (440) 449-1020
• Faxyourregistrationformwithcompletecreditcardinformationto (440) 449-1568.
TO REGISTER OnLInE• Gotowww.choh.org• SelectSeminars>completetheonlineregistration
REGISTEREARLY!SAVE $
Name:___________________________________________________________________________________________________ (Please print name as you would like it to appear on badge)
Office Mailing Address___________________________________________________________________________
City_____________________________________________________________________________________________________
State_____________________________________________________Zip Code_____________________
Phone Number_________________________________________________________________________
FaxNumber________________________________________OhioDCLic.#________________________
Email Address_______________________________________Ohio Acupuncture License #______________
R E G I S T R A T I O n F O R M
Auricular Acupuncture& Meridian Therapy
Columbus, OH • November 14, 2015 • 12-Hour CESponsored by: Northeast Ohio Academy of Chiropractic
SEMINAR COURSE NOTES, will be e-mailed to registered doctors 1 week prior to the seminar date. Course notes will be available at the seminar for late or at the door registrations ONLY.
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Auricular Acupuncture& Meridian Therapy
REGISTRATIOn/FEESRegistration forms must be postmarked or faxed on or before the pre-registration date to receive the lower fee.
Auricular Acupuncture & Meridian Therapy – Saturday, November 14, 2015❑ $285 Pre-registered on or before October 16, 2015❑ $325 Pre-registered on or before November 5, 2015❑ $355 Regular fee on November 6, 2015 and at the door
Registration will be taken at the door. Space will be limited to 60 doctors. PlEaSE REgIStER EaRly!
Seminar Times:Seminar Registration Saturday: Sign-in 7:00 am.Seminar Lecture Saturday: 7:30 am to 7:30 pmLunch on your own: 1:30-2:30 pmRefreshments will be provided throughout the seminar.
Register Today – Seating is Limited to 40 DOCTORS! Hours 7-9:Weight Management• WeightLossManagement:useofacupuncture,acupressure,laser,andnutritionalsupplementation
• EtiologyofObesityinTraditionalChineseMedicine• DifferencesbetweenthetherapeuticapproachWesternvs.TraditionalChineseMedicine
• Protocolsfortreatmentoffoodaddiction&weightloss• Applicationofnutritionalproducts,herbalmedicinefortreatmentoffoodaddictionandweightloss
• BreakoutSectionwithWorkshop
Hours 10-12:Chronic Pain• Discussionofapplicationandpointstotreatchronicpain• NUHScasestudiesconductedPainManagement• Herbalmedicineandnutritionalproductsformanagementof chronicpain• PainManagementbyuseofearbeads,needles,non-piercingneedle, &LLlaserpoints• UseofinexpensiveLowLevelColdLasertotreatacupuncturepoints• BreakoutSessionwithWorkshop
Hour 6:Anxiety; Use of Acupressure, Acupuncture or Laser• Discussionoftreatmentofanxietyandassociatedconditions• IBS–yourwillbowelsyndrome&PTSD• ProtocolsforAnxiety–treatment• evidence-basedeffectivenessofacupuncturemodalitiesforanxiety
Hour 1:Auricular Acupuncture, Ear Beads or Laser Therapy• DiscussionofAuricularMicrosystemandapplication• ReviewofnormalEaranatomy• EaranatomyaccordingtoTraditionalChineseMedicine• Applicationallofearbeadsvs.needlesvs.LowLevellasertherapy• Treatmentpointsforcervical-thoracic-lumbar-andsacraltreatmentpatterns
• BreakoutSessionwithWorkshop
Hours 2-5:Discussion of Segment of the Ear and Application• Treatmentpointsforupperlowerextremities• Lowbackpain,herniateddiscpain,Sciatica• Hypertension-PTSD&anxietypoints• Headaches-Migraines-TensionHeadaches-Insomnia• Treatmentpoints-thyroidfunction-GERD-Asthma• Treatmentpoints-Vertigo-TMJ-Earconditions,ringingofears• BreakoutSessionwithWorkshop
ONEDAY
ONLY!
Program Description:This program-workshop and training will give you a new understand-ing of the Auricular Microsystems to apply Acupuncture and/or Merid-ian therapy techniques. This program will provide training for common clinical conditions to include, Acute and Chronic pain management for your patients. Additional information will be presented to help patients manage anxiety to include PTSD, and weight loss to include anti-in-flammatory diet protocols to transition patients back to health.
SEMINAR COURSE NOTES: course notes will be e-mailed to reg-ister doctors the Tuesday prior to the seminar date. Course notes will ONLY be available for at the door registrations.
Speaker Information:
BRETT MARTIN, D.C., MSAcDr. Martin is an instructor with NUHS St. Peters-burg, Florida campus where he teaches acupuncture the 100 hour module, clinical sciences, nutrition and diet. Dr. Martin is also on the faculty of Kaplan University where he teaches anatomy, physiology, and the principles of nutrition. He has authored many publications on Clinical treatment emphasis on nutrition, detoxification systems, and Botanical medicine. Seminar Location & Accommodations:
COLUMBUS, OHHiltonGarden Inn,Columbus-PolarisLocated off I-71 at the south side of Exit 121
8535 Lyra Drive,Columbus, OH 43240
Reservations: 614-846-8884
ADMINISTRATIVE INFORMATIONCourse Chairman, Alan L. Palgut, DC • Phone (440) 449-1020
REGISTRATION INFORMATIONRegistration will only be accepted by the official registration form. Photocopies of the form are acceptable. ChiroHealth Educational Seminars accepts payment in the form of check, cash, MasterCard or Visa. There will be registration taken at the door.
DISCLAIMERS / CANCELLATION & REFUND POLICY A refund will be granted provided notification is in writing and postmarked no later than 14 days prior to the seminar date. A $40.00 service fee will not be refunded. When the program has been concluded as scheduled, but the registrant did not attend nor provide a 14 day cancellation notice, tuition is non-refundable. Any returned NSF check will incur an additional bank charge of $45.00. Every attempt is made to offer this program as publicized. However, ChiroHealth Educational Seminars reserves the right to adjust program dates, location, times, instructors, etc. to accommodate unexpected faculty or student needs, and cancel due to insufficient enrollment. For this reason, we do not recommend at the door registrations without prior confirmation of the status of this course. Attendance will be LIMITED, call ChiroHealth Educational Seminars at (440) 449-1020. ChiroHealth Educational Seminars is not responsible for any expenses incurred by the registrants due to pro-gram adjustments or cancellations. If license renewal credit is needed, please inquire if this course is approved for your state. No additional discounts or seminar transfer vouchers/credit fees apply for this NOAC sponsored seminar.
CONTINUING EDUCATION CREDIT12 hours of CE certified through Northeast Ohio Academy of Chiropractic and the Ohio State Chiropractic Board. Individuals wanting to earn CE credit must sign in, complete the attendance form and return it at the end of the seminar. Each day will begin promptly at its designated starting time. Completion certificates will be dis-tributed to all registered participants at the conclusion of the seminar. This program has been approved for Ohio acupuncture continuing education credits for license renewal by the Ohio Chiropractic Board of Examiners. You may confirm this by going to their website at: www.chirobd.ohio.gov
CONFIRMATION / DIRECTIONS A confirmation will be sent upon receipt of your paid registration either by mail or facsimile. Please allow ample travel time to guarantee on-time arrival. If you are in need of additional directions to the seminar location, please call the hotel listed below for directions or Map Quest the seminar location for more detailed directions.
When making reservations, inform the representative that you are attending the ChiroHealth Educational Seminar.