ASIPP Comprehensive Review Course in
Controlled Substance Management
November 2-3, 2012
November 4, 2012
Renaissance Denver Hotel
3801 Quebec Street
Denver, Colorado 80207
PHYSICIAN INFORMATION: Please answer all of the following questions:
Physician Registration Fee for Controlled Substance Management Comprehensive Review and Competency Exam
If registering as a Fellow or Resident, please list the name of your fellowship program, university, or hospital, the coordinator, and contact number.
Non-Physician Registration for Coding, Compliance, & Practice Management Comprehensive Review and Associate Certification Exam
ASIPP reserves the right to cancel this course upon reasonable notice and will assume no financial obligation to registrants for cancellation for reasons beyond its control. Registration fees will be refunded however, costs incurred by the registrants, such as airline or hotel fees or penalties, are the responsibility of the registrants. ASIPP requires a 30-day notice of cancellation. Cancellations must be submitted in writing by October 3, 2012. An administrative fee of $200 will be assessed. Cancellations after October 3, 2012 but prior to October 18, 2012, will forfeit 50% of their registration fee. No cancellations accepted after October 18, 2012. Refunds will be sent after the conclusion of the meeting.