Psychiatry Research Medical Education Building Iowa City, IA 52242-1057 PLEASE PRINT LEGIBLY—THANK YOU! Name: Credentials (e.g. LISW, LMHC, MSW, PhD): Organization: Address: City: State: Zip: Day Phone: Fax: Email: REGISTRATION FEE: $600 per person PAYMENT Includes: Registration is complete when form and fees are received. Refunds will not be available for registered participants. Afternoon session on July 31, 2018 and 3 all day sessions on August 1, 2, & 3, 2018 Mail registration and payment (check or money order) to: Conference registration fees do not include lunch, ATTN: Beth Troutman accommodations, or parking. Arrangements for hotel 1-182 Medical Education Building accommodations are the responsibility of each Psychiatry Research individual participant. University of Iowa Carver College of Medicine Check payable to: University of Iowa MEETING LOCATION All meetings will be held at the Medical Education Building at the University of Iowa. Beth Troutman: 319-384-3236; For questions contact CEUS Documentation of hours of attendance will be available. Full time attendance for the 3 ½ day session is intended to meet the criteria for 28 hours of continuing education for Behavioral Science; Psychology; and Social Work. Sign-up sheets and information will be available on site.
Psychiatry Research Medical Education Building Iowa City, IA 52242-1057 PLEASE PRINT LEGIBLY—THANK YOU! Name: Credentials (e.g. LISW, LMHC, MSW, PhD): Organization: Address: City: State: Zip: Day Phone: Fax: Email: REGISTRATION FEE: $600 per person PAYMENT Includes: Afternoon session on July 31, 2018 and 3 all day sessions on August 1, 2, & 3, 2018 Conference registration fees do not include lunch, accommodations, or parking. Arrangements for hotel accommodations are the responsibility of each individual participant. Registration is complete when form and fees are received. Refunds will not be available for registered participants. Mail registration and payment (check or money order) to: ATTN: Beth Troutman 1-182 Medical Education Building Psychiatry Research University of Iowa Carver College of Medicine Check payable to: University of Iowa MEETING LOCATION All meetings will be held at the Medical Education Building at the University of Iowa. For questions contact Beth Troutman: 319-384-3236; CEUS Documentation of hours of attendance will be available. Full time attendance for the 3 ½ day session is intended to meet the criteria for 28 hours of continuing education for Behavioral Science; Psychology; and Social Work. Sign-up sheets and information will be available on site.