CHIROPRACTIC INJECTABLE NUTRIENTS PROGRAM **Attendees must be present for both modules to qualify for taking the examination immediately following the last Module** Dates: Module I: February 21st and 22nd Module II: March 21st and 22nd Times: Saturdays: 9:00AM til 6:00PM Sundays: 9:00AM til 3:00PM (til 5PM for test for Module II) Fees: $350/Module // First year doctors or last year students: $300/Module Location: DoubleTree Warren Place Hotel, 6110 S. Yale Ave., Tulsa, Oklahoma Phone: 918-495-1000. This hotel DOES SUPPLY a shuttle service. Rooms: Room rates run from $89 to $99/night. Let them know that you are attending the Chiropractic Injectable Nutrients course. MAIL YOUR “CHECK” and competed Enrollment Form to: OAACM/ICP, 3808 E. 51st Street, Tulsa, Oklahoma 74135. If you have any questions, please call 918-749-3797. We CANNOT ACCEPT credit cards. The course is limited to 60 doctors. After 60, we will cut off registration. These courses are sponsored by the Oklahoma Association for Advanced Chiropractic Medicine, the Institute for Chiropractic Pharmacotherapy, and Texas Chiropractic College, in collaboration with the Unified Chiropractic Association. This course is designed to augment the Chiropractic physician’s ancillary therapeutic modalities through the application of injectable procedures in which nutritional pharmacotherapeutic substances are clinically administered. The course will include 24 hours of lecture and “hands-on” lab, whereby the Chiropractic physician would receive classroom instruction in laboratory diagnosis of pathology as it relates to the use of injectable, nutritional substances, indications and contraindications including areas within risk management; OSHA requirements for your employees as well as public health concerns; technical instruction regarding proper injection techniques; and physically applying them (will require review of some anatomy); emergency procedures for shock; differentially diagnosing referred visceral pain from neuromusculoskeletal etiologies. Includes HO’s, slides, and video. Every attempt is made to offer these seminars as publicized; however, the OAACM/ICP reserves the right to adjust seminar locations, dates, times, etc. due to circumstances beyond our control. No audio or video tape recorders are allowed, and no portion of the seminar may be reproduced in any manner without expressed written consent. Pre- registration is required. The OAACM/ICP shall not be held responsible for any expenses incurred by registrar if a program must be altered and/or cancelled. Seminar fee is non-refundable. If the Doctor is unable to attend after pre- registering and payment has been received, the seminar fee will be transferred to another Injectable Seminar (attended within 12 months of the original seminar) for an administration fee of $25. Any seminar fee not transferred and used within 12 months will be forfeited. Note: For New Mexico DC’s (or other DC’s) pursuing the Advanced Practice Chiropractic Physician designation, Module III will be held back in Albuquerque on May 23-24. Details to follow. Injectable Nutrients Enrollment Form: (Please print) Name:_____________________________________________________ Address:___________________________________________________ Office Number:_____________________________________________ Fax Number:_______________________________________________ Home Number:_____________________________________________ Cell Number:_______________________________________________ E-Mail Address:_____________________________________________ Chiropractic College:_________________________________________ Year Graduated:_____________________________________________ Please mail this completed form with your check to: OAACM/ICP, 3808 East 51st Street, Tulsa, OK. 74135 .