Level 1 myoActivation Training Registration Form

Two Day Clinical Workshop May 19 and 20, 2018

Online Content will be available May 1, 2018 and should be completed before May 19, 2018

 

Workshop Location

Chan Centre Auditorium

BC Children’s Hospital Research Institute

938 West 29th Ave, Vancouver, BC

located on the BC Women's and Children's Hospital Campus

 

Who should register?

Physicians & nurse practitioners who want to learn a rapid and effective treatment approach for common chronic pain presentations.  

Participants must be licensed to deliver injections and hold liability insurance covering their scope of practice.

Maximum Class Size    16

Number of Instructors  4

To register, please complete the form below.  Once you submit the form, we will contact you to complete registration.  Thanks! 

Name *
Name
Mobile Phone *
Mobile Phone
Address *
Address

Course Fee

Fee includes online content, the two day workshop with lunch included and follow-up support.

Physicians                $1,200

Residents                   $800

Nurse Practitioners    $600

Visa and Mastercard accepted.    Payment of $200 is due at the time of registration, with the remainder due by May 1, 2018.

Cancellation Policy

If you need to cancel, you must do so by email to info@myoclinic.ca up to 30 days before the start of the course. Your registration fee, less a $50 handling charge, will be refunded.

The course is non-refundable within 30 days of the course date.

We reserve the right to cancel a course up to 30 days prior to the course date.  A minimum of 8 registrants are needed for the course to run.  In the event that we cancel the course, each registrant will be notified and given a full refund of the course fees.  We are not responsible for any other of your costs, including, but not limited to airline or hotel penalties.

Proof of Medical Practice Liability Insurance

Upon registration, you will be asked to provide a copy of your medical practice Liability Insurance up to $3 million per occurrence, effective in Canada.

Cautions

 If you might be pregnant, please call us to go over risks before confirming registration.