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Educational Program Request

2008 12-Hour SCS Theory and Practice Courses

Please Note: Approved for Contact Hours Only. No CME Approval.

Attendee's Information
Attendee's Name:   *
RN License #:   *
Mailing Address:   *
City:   *
State:   *
Zip:   *
Phone Number:   *
Cell Number:   *
    Note: Cell phone is needed to contact you at the airport.
E-mail Address:   *
Facility Name:   *
Implanting Physician:   *
ANS Sales Representative:   *
Position Information
Current Position:   *
    MA
LPN/LVN
RN
PA
NP
Other:
Years In:  
Current Position:   *
Pain Management:   *
SCS:   *
Approx. Number SCS/Mo.:   *
Location Information
Please select the date most convenient for you.*
(Every effort will be made to honor your preferred selection.)
  January 18-20, 2008 Closed
  February 15-17, 2008
(*NP & PA only) 		Closed
  April 18-20, 2008 Closed
  May 16-18, 2008 Closed
June 20-22, 2008
(*NP & PA only)		 Plano, TX
  July 18-20, 2008 Closed
August 15-17, 2008 Plano, TX
September 19-21, 2008
(*NP & PA only)		 Plano, TX
  October 17-19, 2008 Closed
November 14-16, 2008 Plano, TX
©  2008  Advanced Neuromodulation Systems, Inc.  All rights reserved. 
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Plano, Texas 75024
972-309-8000 / 800-727-7846
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