Impairment Ratings Workshop Checkout Step 1 of 3 33% Attendee InformationName* First Last Chiropractic License Number*Please enter your licences number in this format: CH99999Please do not use leading zeroes.If you are not yet licensed, please enter: N/APhone*Email*Email is our primary method of communication! You will receive your Registration Confirmation, CE Voucher, Schedule, and all information pertaining to the program via email. Please enter a valid email address and add the 'flchirocon.com' domain to your 'Safe Senders' list to ensure that you receive all pertinent information about your registration! Email Preferences*Check the boxes to indicate your email preferences. Add me to your email list. I would like to receive emails/special offers from this event's sponsors. Please ONLY send me conference information. Cancellation Policy*If you cancel within 48 hours of your registration, a full refund will be issued less a $30 processing fee. Any cancellations after this point will be issued a 50% refund of registration fee if you notify Florida Chiropractic Conferences (FCC) by email 5 business days before the event. Cancellations received after the stated deadline will not be eligible for a refund, only transfer to another Impairment Rating Workshop. Transfers are subject to a $30 fee. Refunds will not be available for registrants who choose not to attend or forget to attend an event.Yes, I agree. Please continue with my registration.No, I do not agree to these terms. I understand I will not be able to pre-register for this event. Save and Continue Registering Later! Workshop Location*September 14-15, 2019October 5-6, 2019Special Note!AMA’s “Guides To The Evaluation of Permanent Impairment”, 6th Edition, may be purchased directly from the American Medical Association or through Amazon by clicking here. Dr. Kaplan’s Workbook: $95.00 Dr. Wellikoff’s Workbook: $100.00 To do the work required in the 6th Edition, you will need to have either the AMA “Guides” or Dr. Kaplan’s Workbook. Dr. Wellikoff’s workbook covers CPT coding, ICD-9 to ICD-10 Conversions, Documentation, Physical Medicine, Establishing Medical Necessity, Forms, CA Education (Front Desk, Radiology, Terminology, Etc.) Dr. Kaplan’s and Dr. Wellikoff’s books are available at the time of registration. A limited number of each book will be available at the Seminar. Dr. Kaplan's Workbook Dr. Wellikoff's Workbook Impairment Ratings Workshop* Price: $400.00 Subotal $0.00 CE Certificate InformationTo receive your CE voucher please complete the necessary information below for Parker University's "Attendee Verification Form". Save and Continue Registering Later! Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Office Phone Number*Cell PhoneChiropratic CollegeGraduation YearPaymentCoupon Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Post CategoryBOC News and HappeningsChiropractic in the NewsClassified Ads─ Community Job Board── Employee Wanted── Employment Wanted─ For SaleFCC Poli-TICsOffice NewsUncategorizedorder Price: $0.00 CommentsThis field is for validation purposes and should be left unchanged. Save and Continue Registering Later! This iframe contains the logic required to handle Ajax powered Gravity Forms.