Friday, April 20, 2018

Interprofessional Symposium on Quality Assurance and Improvement in Collaborative Practice
School of Health Professions
UT Southwestern Medical Center
Dallas, Texas
utsouthwestern.edu/healthprofessions

* This activity has been reviewed and is approved for a maximum of 3.00 AAPA Category 1 CME credits by the AAPA Review Panel. PAs should claim only those credits actually spent participating in the CME activity. 

* This activity has been approved by the Texas Board of Physical Therapy Examiners (TPTA) for 3 CCUs for PTs and PTAs

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* 1. First Name

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* 2. Middle Name

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* 3. Last Name

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* 4. Street

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* 5. City

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* 6. State

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* 7. Zip code

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* 9. Phone

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* 10. Email address

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* 11. UTSW Alumnus?

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* 12. Profession

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* 13. Credentials

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* 14. Do you precept students at you place of work?

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* 15. Credit

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* 16. ADA/Special Needs

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* 17. Dietary Restrictions

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* 18. Do you plan to attend the Alumni Reception?

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* 19. Registration Fee

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