Participant Name (one registrant per form)
Organization Name
Organization Address
City
State
Zip Code
Phone
Fax
E-mail
Please Indicate Which Sessions You Will Attend:
10:15 Breakouts: —Please choose an option—A – Robert Latz – Celebrate Freedom with Wearable TechnologyB – Betty Robison – Celebrate Life: How to Live Longer & BetterC- Debbie McKee – Enabling GardensD – Dr. Timothy M. Campbell – Finding Joy in Healthcare: Handbook for Humanity
11:30 Breakouts: —Please choose an option—E – Amy Lorek – FaceAge installation 56 minutesF – Fabiana Cheistwer – Celebrate YOU through Six Wellness ChoicesG – Erick Horwith – No Patient Left Behind: Differentiating Hospice vs Palliative CareH – Jack York – Put the drugs down and turn the music UP!
1:30 Breakouts: —Please choose an option—I – Jan Brown – Celebrate PEER’sJ – Jean Dobay – From planning to CelebrationK – Gary Gibson – Celebrating the Spirit of LifeL – Amy Lorek – FaceAge presentation/training
Check All That Apply: NHAPCHAALARNNCCAPCTRSLSW/LCSW/LMFT/LPC
