Secure On-Line Registration

LAST ACTS:
Discovering Possibility and Opportunity at the End of Life
Friday, April 9, 2010

David J. Casarett, MD, Author, Noted Researcher,
University of Pennsylvania School of Medicine

Friday, April 9th, 2010
1:30 pm until 4:00 pm

In Last Acts, Dr. David Casarett explores many questions as he considers how we use our time when that time is limited. In the process, he shares the compelling stories of many of the patients he's cared for in 10 years as a hospice and palliative care physician. Last Acts draws on the author's clinical experiences to help patients make the most of the time that they have. It will also help families and loved ones understand why patients sometimes make choices that can seem baffling and perplexing.

At the completion of Dr. Casarett's seminar, participants will be able to:

♦Identify "last acts" that are important to people at the end of life;
♦Describe ways that hospice and palliative care professionals can assist people with their chosen last acts/important goals at the end of life;
♦Discuss the potential for growth and new possibilities for growth and new possibilities inherent in the end-of-life experience.

UCD Anschutz Medical Campus
Ed2 North Building, Room P28-1103
13120 E. 19th Avenue
Aurora, CO 80045

Click here for driving directions

Registration Details

Registration fees include admission to the presentation. If you register to attend and purchase the book "Last Acts," your book will be available for pick-up at the registration desk outside the auditorium at 1:00 pm on April 9, 2010.

Registrations may not be split between two or more individuals.

Payment will be accepted by VISA, MasterCard, American Express, Discover, check (payable to “COCHPC”). Payment is required within 30 days of invoicing. If a second notice is required, there will be a charge of $20 per invoice.

Cancellation & Refund Policy
All cancellations must be made in writing to the COCHPC office. Written requests for refunds received prior to seven days before the workshop will receive a 50% refund less a $10 processing fee. Fees are nonrefundable after that date. There are no refunds for no shows. Substitutions are encouraged in lieu of cancellations.

Your contribution may be deductible in whole or in part. Colorado Center for Hospice and Palliative Care is a 501(c)(3) organization.

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Registrant Information:

Name
Credentials
Address
City, State, Zip
Organization
Phone
Fax
Email	(confirmation details will be e-mailed to this address)

Registration Fees:

As of Friday, April 9: please register on-site to attend this event.
Book purchases can still be made online.
Registration: $49
Registration including the book "Last Acts": $74

Student Registration: $25
Student Registration including the book "Last Acts": $50

Purchase book only - mail to address noted above: $30

Registrant 1
Registration Category Please select one option below:
Registration $49
Registration and book $74
Student Registration $25
Student Registration and book $50
Book only, mailed to address noted above $30

Registrant 2
Registration Category Please select one option below:
Registration $49
Registration and book $74
Student Registration $25
Student Registration and book $50
Book only, mailed to address noted above $30

Registrant 3
Registration Category Please select one option below:
Registration $49
Registration and book $74
Student Registration $25
Student Registration and book $50
Book only, mailed to address noted above $30

Registrant 4
Registration Category Please select one option below:
Registration $49
Registration and book $74
Student Registration $25
Student Registration and book $50
Book only, mailed to address noted above $30

Payment Options
Please select one option below:
MasterCard* VISA* American Express* Discover*
Invoice to company

Total Amount Due $

Cardholder name
Card number
CSV number **
Expiration date
Billing zip code

** This number is printed on your MasterCard, Visa & Discover cards in the signature area on the back of the card (it is the last 3 digits AFTER the credit card number in the signature area of the card). If you are using an American Express card, you can find your four-digit card verification number on the front of your American Express credit card above the credit card number on either the right or the left side of your credit card.

*A credit card receipt will be mailed to the mailing address above.

Comments?

Please click below to submit your registration to the COCHPC office.
A confirmation page will appear to acknowledge that your
registration has been sent electronically.

If you do not receive a confirmation page,
please contact COCHPC staff as soon as possible at cochpc@assnoffice.com.

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Colorado Center for Hospice & Palliative Care
7400 East Arapahoe Road, Suite #211, Centennial, Colorado 80112
303-694-4728 / fax 303-694-4869 / cochpc@assnoffice.com

©Colorado Center for Hospice & Palliative Care, 2010. All rights reserved.