Continuing Education Order Form: DC



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Continuing Education Order Form: DC Video materials are due back to the OCA office within 2 week for 10 CE hours or less. 11-20 CE hours are due back within 3 weeks. $25.00 per week WILL be charged until the material is returned after that time. Lost or Stolen Property Disclaimer: All material is property of the OCA and is leased for the use of continuing education. If material is lost or stolen it is YOUR responsibility to replace the cost of the material: $125.00 for material that we have produced and up to $199.00 for material that was purchased for use in our library. Cost of Programs: (VARIES WITH DIFFERENT PROGRAMS) Special pricing Video Sets w/ notes (see Cost) $15.00 - per regular credit hour $25.00 - per credit for Pain Management & Year 1 CE hours $9.50 - Shipping & Handling (non-members ONLY) Video Sets w/ Notes DVD ***Special Pricing*** 2013-1 Kathy Mills Chang Documentation & Chart Noting (Required in 2013) 6 CE Hrs Special: Includes Notes Cost: $135.00 2013-2 Dan Murphy, DC, DABCO Subluxation Neurology 5 CE Hrs Special: Includes Notes Cost: $125.00 2012 9 Dan Murphy, DC, DABCO Brain Trauma 7 CE Hrs Special: Includes Notes Cost: $ 150.00 2011-6 Dan Murphy, DC, DABCO Whiplash & Nutritional Pain Management 10 CE Hrs Special: Notes Included, cannot be broken up. Cost: $225.00 2009-1 Dan Murphy, DC, DABCO Nutritional Neurology 10 CE Hrs Special: Includes notes, cannot be broken up. Cost: $200.00 2012 10 Gatti & Gatti Law Firm / Panel Personal Injury & Workers Comp 4 CE Hrs Special: Includes Notes Cost: $100.00 2011-11 ACA Primary Care Symposium- Michael Taylor, DC and Daniel Beeson, DC- 6 CE Hrs IBS and Gastrointestinal, Karen Konarski-Hart, DC Emergency Management, Elise Hewitt, DC- Pediatric Otitis Media, Ted Forcum, DC and Guillermo Bermudez, DC Head Injuries and Concussions, & Alex Vasquez, DC Hypertension Special: Notes Included cannot be broken up Cost: $135.00 2010-1 Fredrick Carrick, DC, PhD, DACAN, DABCN, DACNB, DAAPM, FACCN 8 CE Hrs Clinical Neurology for the Practicing Chiropractor & other Physicians Part 1 & 2 Special: Includes Notes, cannot be broken up. Cost: $150.00

Pain Management DVD s Meets OBCE Year 2 Requirement ( Note these DVD s/ Video are $25.00/ Hour ) 2014-2 Dr. Michael Freeman Chronic Pain Mechanisms Following Spine Trauma 3 CE Hrs 2008-2 William Kneebone, DC Cold Laser for Pain Management 2 CE Hrs Notes Non-Member Cost for Notes: $12.00 2008-3 Evan Mladenoff, DC, DACBR 3 CE Hrs Notes Supplements for Treating Pain & Inflammation (Part 1) Non-Member Cost for Notes: $10.50 2007-3 David Milroy, DC, ND 2 CE Hrs Prolotherapy in the Pain Management of the Chiropractic Patient 2007-5 Jay Halaj, PhD Migraines & Fibromyalgia 2 CE Hrs 2007-6 William Kneebone, DC Cold Laser for Pain Management 2 CE Hrs 2007-7 William Kneebone, DC Laser Therapy for Pain Management 1 CE Hr 2006-2 Annette Stevko, DC Pain Relief for Sports Injuries 2 CE Hrs Year 1 CE --Meets OBCE Requirement Evidence Based Outcomes & OTC Meds ($25.00 /Hour) 2015-OTC Louis D Amico, DC, R.PH Over the Counter Meds 4 CE Hours 2015-9 Steven Yeomans, DC, FACO Evidence Based Assessments & Outcomes 2 CE Hours 2014-OTC Carolyn McMakin, DC Over the Counter Meds 4 CE Hrs

2015-DVD s 2015-7 2015 Videos now available online! CONVENTION PACKAGE 2015 = Special Pricing: $325 = 20 CE Hrs {Includes Printed or USB Convention Notes} 2015-1 Terry R. Yochum, DC, DACBR Effects Of Bio Mechanics on Bone Marrow Edema 4 CE Hours 2015-2 Kim Christensen, DC, DACRB+ -- Spine Stabilization and Motor Control 4 CE Hours 2015-3 Francis Murphy, DC Upper C/S & Frozen Shoulder 4 CE Hours 2015-4 Steven Yeomans, DC, FACO Outcome Assessments: BULLET PROOF Your Records 2 CE Hours 2015-5 Mario Fucinari, DC Low Tech Rehab 4 CE Hours 2015-6 Ted Forcum, DC Kinesiology Taping & Graston Scraping Technique 2 CE Hours Convention Notes - ($25) Printed USB 2015-10 Timothy Keenen, MD Save the Multifidus 1 CE Hour 2015-11 Jerome Rerucha, DC Integrating Chiro & Sports Performance 4 CE Hours 2015-12 Dr. Aaron Deshaw, Attorney Imaging for Brain Injuries 1 CE Hour 2015-13 Brian Kelly, DC {Life Chiropractic College West, Pres.} Inspirational 2 CE Hours 2015-14 Troy Dukowitz, DC 5.5 Keys to Creating Greater Impact 2 CE Hours 2015-15 Kathryn Retzler, ND Bio Identical Hormones: What Matters to Chiropractors 2 CE Hours 2015-16 Ed Hacmac, DC Five Dimensions of Wellness 1 CE Hour 2015-17 Functional Chiropractic Council Neuro Case Studies {2 DVD SET} 1 CE hour Glen Zielinski, DC, DACNB, FACFN Functional Neurology Treatment of Post Traumatic Locked Syndrome 2015-18 Mario Fucinari, DC Billing, Medicare & ICD-10 updates 4 CE Hours 2015 - ICD-10 DVD ONLY (Not available online) 2015-ICD-10 Mario Fucinari, DC ICD-10 Transition & Implementation for the Chiropractic Office 3 CE Hours Part 1: ICD-10 Implementation and Transition Part 2: ICD-10 and Your Documentation Part 3: Terminology and Specificity of ICD-10 Coding Part 4: Personal Injury, Work Comp and ICD-10

2014 -DVD s 2014-9 CONVENTION PACKAGE 2014 = Special Pricing: $325 = 20 CE Hrs {Includes printed or USB Convention notes} 2014-1 Retired US Brigadier General Becky Halstead Inspirational 1 CE Hr 2014-2 Dr. Michael Freeman Chronic Pain Mechanisms Following Spine Trauma 3 CE Hrs (Pain Management Hours Pricing: $25 Per Hr) 2014-3 Dr. Mark Charrette Lower Extremity Adjusting 4 CE Hrs 2014-4 Dr. Mark Charrette Upper Extremity Adjusting 3 CE Hrs 2014-5 Dr. Van Merkle Incorporating Lab Testing into Your Office {2 DVD set} 4 CE Hrs 2014-6 Heidi Farrell The Extreme Team 1 CE Hr 2014-7 Sherri Tenpenny Truth About Vaccines 4 CE Hrs 2014-8 Dr. Judith Boothby & The Functional Chiropractic Council Case Studies 1 CE Hr Convention Notes Printed ($25) USB ($15) 2013 -DVD s 2013-7 CONVENTION PACKAGE 2013 = Special Pricing: $350 members / $400 non-members = 20 CE Hrs {9.5 CE hrs below + Kathy Mills Chang/Documentation=6 & Dan Murphy, DC/Sublux Neuro=5} {Also includes the complete book of notes -- PRICING SEPARATELY = $425.00} 2013-3 Liz Anderson-Peacock, DC Inspirational 2 CE Hrs 2013-4 Liz Anderson-Peacock, DC Pediatrics {2 DVD set} 4 CE Hrs 2013-5 Brandi MacDonald The Office as a Team 2 CE Hrs 2013-6 Tim Treible, MD - Orthopedics 1.5 CE Hrs

2012 -DVD s 2012-1 Alex Vasquez, BS, DC, NC, DO -- Nutrition {2 DVD set} 3 CE Hrs 2012-2 Steven Weininger, DC -- Posture / Rehab {2 DVD set} 3.5 CE Hrs 2012-3 Fabrizio Mancini, DC The Wellness Revolution 1.5 CE Hrs 2012-4 Gilles LaMarche, DC Philosophy and Inspiration 1.5 CE Hrs 2012-5 Charles Ward, DC Philosophy 2 CE Hrs 2012-6 Paul Reed, DC -- Philosophy / Legacy of Chiropractic (LOC) 2 CE Hrs 2011 DVD s 2011-1 John DeMartini, DC Human Behavior Specialist 2 CE Hrs 2011-2 Gerry Clum, DC Vertebral Artery Syndrome 2.5 CE Hrs Notes Non-Member Cost for Notes: $ 7.00 2011-3 Elise Hewitt, DC, CST, DICCP, FICC Pediatrics: Spinal Adjusting 2 CE Hrs Notes Non-Member Cost for Notes: $ 5.00 2011-4 Elise Hewitt, DC, CST, DICCP, FICC Pediatrics: Otitis Media & TX 2 CE Hrs Notes Non-Member Cost for Notes: $11.50 2011-5 Shawn Powers, RN, DC Team Strategies 2 CE Hrs 2011-7 Dr. Carol J. Phillips Craniosacral / Myofascial Workshop 6 CE Hrs (Council on Chiropractic Pediatrics ICA) Vol: 2 2011-8 Dr. Carol J Phillips Prenatal Chiropractic Protocol 1 CE Hrs (Council on Chiropractic Pediatrics ICA) Vol: 3 2011-9 Tom Necela HIPAA 5010 1 CE Hrs 2011-10 Fredrick Carrick, DC - Advances in Neurology 2.5 CE Hrs

2010 DVD & Audio 2010-2 James Cox, DC, DACBR Adjustive Technique: The Cox Technic 3.5 CE Hrs 2010-3 Jeff Spencer, DC Tough Leading Edge Advances in Clinical Outcomes (Part I & II) 3.5 CE Hrs 2010-4 Reggie Gold, DC Vertebral What? Chiropractic Philosophy 2 CE Hrs 2010-5 Martin Milner, ND 1 CE Hr Treating the Electrical cause of Disease w/ High Intensity PEMF 2010-6 Dave Mager Harnessing the Spirit of Chiropractic 2 CE Hrs 2010-7 James Chestnut, DC Eat Well, Move Well, Think Well 2 CE Hrs 2010-8 Reggie Gold, DC The Chemistry of Life 1 CE Hr Note: Audio copy will be mailed in replacement if DVD is not available (2010-21) 2010-9 Reggie Gold, DC & James Sigafoose, DC & Timothy Gay, DC - 6 CE Hrs The Art & Philosophy of Chiropractic Note: Audio copy will be mailed in replacement if DVD is not available (2010-22) 2010-10 Gary Street, DC, Ph.C, F.I.C.A., L.C.P. Basics of Chiropractic Medicare 2010 2.5 CE hrs *** Notes sent with, (if lost or damaged you will be responsible for $130.00 replacement cost) 2010-23 Reggie Gold, DC & James Sigafoose, DC & Timothy Gay, DC - 10 CE Hrs The Art & Philosophy of Chiropractic Note: Audio Only Copy 2009 DVD s 2009-2 Patrick Gentempo Jr., DC Power of Chiropractic Philosophy 2 CE Hrs 2009-3 Heidi Ferrell, Consultant Team Building, Training & Communication in 2009 1.5 CE Hrs 2009-4 Tyrone Wei, DC, DACBR & Jordi Kellogg, MD - 2 CE Hrs Cervical MRI & Correlation Between other Studies & Current Surgical Treatments of Cervical Disorder 2009-5 David Jackson, DC Power of Intent 2.5 CE Hrs 2009-6 Kevin Hearon, DC TMJ & Ribs 1 CE Hr 2009-7 Kevin Hearon, DC Lower Extremity 1 CE Hr 2009-8 Kevin Hearon, DC Upper Extremity 1 CE Hr 2009-9 Kevin Hearon, DC Foot Gait 1.5 CE Hrs

2008 DVD s 2008-1 Ted Forcum, DC, DACBSP Sports Injuries Taping 2 CE Hrs 2008-4 Tim Sellers, DC, DACBR FONAR Weight Bearing MRI Latest Technology 1 CE Hr 2008-5 William Kneebone, DC Thermography for Identifying Injury 1 CE Hr Notes Non-Member Cost for Notes: $8.50 2008-6 Timothy Gay, DC Adjustive Techniques 2.5 CE Hrs 2008-7 Evan Mladenoff, DC, DIABK AK- Applied Kinesiology (Part 2) 2 CE Hrs 2008-7 Evan Mladenoff, DC, DIABK AK Applied Kinesiology (Part 3) 2 CE Hrs 2008-8 Alan Smith, DC Vestibular Injuries, Diagnosing, & Rehab 3 CE Hrs

Order Form Total Regular Credit Hours: X $15.00 per credit hour = $ Total PM/ Yr 1 Credit Hours: X $25.00 per credit hour = $ Total Credit Hours for Special Video Sets or Misc Notes Cost: = $ Add: $9.50 Shipping & Handling for Non-Members = $ Total = $ Are you (DC) a current member of the OCA?: Yes No Would you like information on becoming a member of the OCA?: Yes No If ordering 2015 Videos, would you like to view them online? Yes No Via Mail Via Fax # Via Email Payment Method: Visa MC AMEX Discover Check/ MO # Card#: - - - Expiration Date: VCode: Full Name on Card: Billing Zip: Signature of Cardholder: Mailing Address: City: State: Zip: Office #: *******Please Fill Out a Separate form for each DC receiving CE Hours******* DC Name: DC Alternate Phone Number (Required): DC Email: Date: Please Make Checks or Money Order payable to: OCA 10570 SE Washington St., Suite 210 Portland, OR 97216 Email: Chirooregon@hotmail.com Phone: (503)256-1601 Fax: (503)256-1602