BCP 2020 Registration

FMDA's Virtual 29th Annual Conference Registration

Oct. 21-25, 2020
*REGISTRATION FEE: Includes attendance at educational sessions #104 on Oct. 23 to #126 on Sunday, Oct. 25, Trade Show admission, and product theaters. All preconference workshops are extra.

**The 2-hour Prescribing Controlled Substances course (only available live and will not be recorded) is provided by Florida Osteopathic Medical
Association (FOMA) and has been approved by the Florida Boards of Medicine and Osteopathic Medicine to meet the mandatory physician requirement.
Upon completion of session 101, FOMA will report these earned physician hours to CE Broker. Non-physicians and physicians: While this activity
meets the requirements for Florida licensed physicians, it is not intended to, nor does it meet the mandatory Controlled Substance requirements for the
Florida Board of Pharmacy or any other Florida licensing board. However, it is approved for general contact hours for physicians (by AMDA/FMDA),
advanced practices nurses, pharmacists, physician assistants, nurses, and nursing home administrators.

Please choose ONE appropriate full registration option based off your membership affiliation or professional status. Optional pre-conference workshops are also available.

All discounted registrations are subject to verification.

If you have questions or need assistance, please contact Shane Bellotti at (561) 689-6321, or sbellotti@fmda.org.
I referred the following first-time attendee:
I referred the following first-time attendee:

Attendee Contact Information

Name: *

Prefix First Name Last Name Suffix
Credentials:
Title:
Facility Name/Affiliation:
Specialty:
License #1:
State:
License #2:
State:
Preferred Mailing Address:

Street Address

Street Address Line 2

City State

Zip Code
What type of mailing address is this?

Home Office Facility
Email:
Phone Number: *

Area Code Phone Number
Fax Number:

Area Code Phone Number

Please answer the following questions to help us better process your registration. The conference agenda is subject to change.

1. If you are a new FMDA Member, which current FMDA Member referred you?
2. Is this your first time attending Best Care Practices in the Post-Acute and Long-Term Care Continuum conference?

Yes No

Conference Registration:

I would like to register for the following:
prev next ( X )
Full Registration: Current members – Live Broadcast Only $ 339.00

Full Registration: Current members – Recorded Only $ 389.00

Full Registration: Current members – Live Broadcast and Recorded $ 429.00

Full Registration: New/Renewing FMDA Members (includes $90 for annual dues for General and AHPRC members) – Live Broadcast Only $ 429.00

Full Registration: New/Renewing FMDA Members (includes $90 for annual dues for General and AHPRC members) – Recorded Only $ 479.00

Full Registration: New/Renewing FMDA Members (includes $90 for annual dues for General and AHPRC members) – Live Broadcast and Recorded $ 519.00

Full Registration: Non-member Practitioners – Live Broadcast Only $ 479.00

Full Registration: Non-member Practitioners – Recorded Only $ 529.00

Full Registration: Non-member Practitioners – Live Broadcast and Recorded $ 569.00

Full Registration: Unlicensed Registrants *includes Organizational Affiliate Membership – Live Broadcast and Recorded $ 650.00

Full Registration: Physician Fellows, Interns, and Residents* – Live Broadcast Only $ 75.00

Select which applies

Full Registration: Full-Time Students* – Live Broadcast Only $ 75.00

Select

Pre-Conference Day, Thursday, (10/22/20): #101 Opioid Prescribing Controlled Substances** (2-hrs.) – Live Broadcast Only $ 50.00

Pre-Conference Day, Thursday, (10/22/20): #102 Preventing Medical Errors (2-hrs.) – Live Broadcast and Recorded $ 50.00

Pre-Conference Day, Thursday, (10/22/20): Both Florida Mandatory Licensure Update Courses above – Live Broadcast and Recorded (Except Session #101) $ 95.00

Pre-Conference Day, Thursday, (10/22/20) – 3-Hour Intensive Workshop: Enhancing Clinical Competancies: Look Before You Leap (3-hrs.) – Live Broadcast and Recorded $ 100.00

Pre-Conference Day, Thursday, (10/22/20): All three (3) Preconference Sessions above – Live Broadcast and Recorded (Except Session #101) $ 175.00

Total $ 0.00
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FMDA thanks you for your support and participation!

Cancellation Policy: There will be a $75 administration fee for all written cancellation requests received on or prior to Sept. 23, 2020. There will be no refunds after Sept. 23, 2020. There is a $35 charge for all returned checks.
400 Executive Center Drive, Suite 208
West Palm Beach, FL 33401
(561) 689-6321 | Fax: (561) 689-6324; www.fmda.org | www.bestcarepractices.org

FMDA is a not-for-profit corporation. Its federal tax identification number is
81-3438184.
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FMDA's Virtual 29th Annual Conference Registration