bey 7/5/05

Secure On-Line Registration

The Home Care Association of Colorado presents

"Home Care Coding: How To Get Those Payments You Are Entitled to Receive"

One-Day Continuing Education Hands-On Workshop 

 Thursday, September 8, 2005
8:00 a.m. to 4:30 p.m.

Presenter:
Lisa Selman-Holman, JD, BSN, RN, CHCE, HCS-D, COS-C
Owner, Selman-Holman & Associates, LLC, Denton, Texas 

Location: Centura Senior Life Center, 1601 Lowell Blvd., Denver, Colorado. (303) 899-5292

Please review Registration Details below

Agency/Company  
Agency Contact 
Address 
City, State, Zip

Phone
Fax 
Email 

Select one option below:
HCAC Provider Member     
HCAC Allied Member
Nonmember Provider
Region VIII Agency
 

Name of 1st Registrant 

Name of 2nd Registrant 

Name of 3rd Registrant

Name of 4th Registrant

Registration Category
(Press the Control button on your keyboard and click mouse to select more than one option)


 * Add $15 to each registration if submitted after 
August 26, 2005

Total Amount Due
$

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

Cardholder name
Card number
Expiration

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

Comments?

Please click below to submit your registration to the HCAC 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 HCAC staff as soon as possible at hcac@assnoffice.com.

Registration Details                          

Registration fees include workshop admission, education materials, continental breakfast, refreshments and lunch.  

Registrations postmarked on or before Friday, August 26, 2005, are eligible for the early registration discount fee.

Only employees of HCAC members and agencies in our neighboring states are eligible for the discounted fee.

Registrations may not be split between two or more individuals.

Payment will be accepted by VISA, MasterCard, check (payable to “HCAC”) or HCAC can bill your agency. Payment is required within 30 days of invoicing. If a second notice is required, there will be a charge of $20 per invoice.

Taping: This workshop will not be recorded and therefore no tape or CD will be available for purchase.

Cancellation & Refund Policy
 All cancellations must be made in writing to the HCAC office. Written requests for refunds received by Friday, August 26, 2005, will receive a 50% refund less a $50 processing fee. Fees are nonrefundable after that date. There are no refunds for no-shows. Substitutions are encouraged in lieu of cancellations.
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Home Care Association of Colorado
7853 East Arapahoe Court, Suite #2100, Centennial, Colorado 80112-1361
303.694-4728  /  fax 303.694-4869  /  hcac@assnoffice.com

© Home Care Association of Colorado, 2005. All rights reserved.