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Continuing Education

Physician/PA/Nursing Home Administrator: This program has been approved by the Southern KY AHEC for CME credit. The Southern KY AHEC is accredited by the Kentucky Medi- cal Assocation (KMA) to sponsor continuing medical educa- tion for physicians. The Southern KY AHEC designates this continuing medical education activity for a maximum of six and one half (6.5) credits in AMA PRA Category 1 Credit(s)TM.

  • Nursing:This program has been submitted to the Rockcastle Regional Hospital for Nursing Credit (Credit Pending).

  • Dentistry: This program has been submitted to the Ken- tucky Board of Dentistry for Dentistry Credit (Credit Pend- ing).

  • Respiratory: This program has been submitted to the Ken- tucky Board of Respiratory Care for credit (Credit Pending).

  • CHES: Certified Health Education Specialists – CE credit pending review by the Western Kentucky University CHES CE program.

  • County Official: This program has been submitted to the Governor’s Office for Local Development for credit (Credit Pending).

  • Pharmacy: This program has been submitted to the KY Board of Pharmacy for Pharmacy Credit (Credit Pending).

  • SocialWork: This program has been submitted to the Ken-

tucky Board of Social Work for Credit (Credit Pending).

Maximum 6.5 Hours – (Credit will be given on a per lecture basis).

Registration

13th Annual Kentucky Rural Health Association Conference July 21-22, 2011

Name _____________________________________________________

SS# ___________________________________ (Nursing only - Required)

LIC# ______________________________________________ (Required)

Address

____________________________________________________

City _______________________________________________________

State __________________________ Zip ________________________

Phone

_____________________________________________________

Email

______________________________________________________

Credit Needed: (Check all that apply)

Physician

Respiratory

County Official

Social Worker

Nurse Practitioner

CHES

Nursing

PA

Dentistry

Pharmacy

Attendance Requirement

Attendees must stay for entire session and complete a written evaluation to be awarded contact hours.

Special Needs

Please let us know if you have any special needs (i.e., physi- cal, dietary etc.). Please either list these with your registra- tion form or contact Diane Kronemeyer at diane.kronemeyer @uky.edu or 606-439-3557.

Hotel Information

Holiday Inn University Plaza 1021 Wilkinson Trace Bowling Green, KY 42103 270-745-0088 www.hlbowlinggreen.com’’Conference Room Rate: $95.00 Deadline for this rate: June 29, 2011

Please identify yourself as being with the KY Rural Health Association Annual Conference when making hotel res- ervations.

Cancellation Policy

Cancellations made before July 11, 2011 will be charged a $25.00 administrative fee. Cancellations after this date and no-shows will not receive a refund. Substitutions are accepted.

Conference Fees:

KRHA Members Non-members KRHA Students Non-KRHA Students

Early Registration before July 5,2011

Late Registration After July 5,2011

$85.00 $135.00 $45.00 $55.00

$95.00 $145.00 $45.00 $55.00

I will be participating in the:

Reception Thursday evening – Free (cash bar) 2 Mile Fun Run/Walk – Free Baseball Game – Add $8.50

Registration:

Register Online at:

http://www.krha.wildapricot.org/Default.aspx?page id=955555

or mail registration, with check payable to the KRHA, to:

Diane Kronemeyer

Kentucky State Office of Rural Health 750 Morton Blvd. Hazard, KY 41701

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