The North Carolina Society of Radiologic Technologists, Inc. Breast Imaging One-Day Continuing Education Seminar Best Western, Huffman Mill Road, Burlington, NC Saturday, March 7, 2015 CE Day Coordinators: Jennifer Elder, RT(R)(M) and Lisa Nealon, RT(R)(M) Program approved for 7.0 Category A CE by the ASRT through the NCSRT, Inc.
NCSRT, Inc. CE Proof of Attendance Breast Imaging Saturday, March 7, 2015 Best Western, Huffman Mill Road, Burlington, NC 7:00 a.m. 7:45a.m. Check-In/On-Site Registration Buffet Breakfast in room adjacent to meeting. 7:45 a.m. 8:00 a.m. WELCOME from the President, Robin Cornett, M.A. Ed, RT(R)(CV) 8:00 a.m. 8:50 a.m. 9:00 a.m. 9:50 a.m. Understanding BIRADS Matthew D. Dyson, MD (Catawba Radiological Associates) Breast Tissue Density: The Opening of Pandora s Box Chandra M. Baker, MD (Catawba Radiological Associates) 9:50 a.m. 10:00 a.m. BREAK 10:05 a.m. 10:55 a.m. 11:00 a.m. 11:55 a.m. 12:05 p.m. 12:55 p.m. Patient Navigation : Insuring the Best Care and Optimal Outcomes Kimberly Z. Weaver, RN, BSN, OCN (Catawba Valley Medical Center) Something Is Not Normal, Now What? Susan Knowles, MSN, RN-BC (Patient Navigator, Catawba Valley Medical Center) LUNCH Sponsored by Hologic and Mammotone 1:00 p.m. 1:50 p.m. 2:00 p.m. 2:50 p.m. Diary of a Mammographer Susan J. Warwick, RT (R)(M)(QM)(BD) (Alliance Radiology) Breast Cancer Is Not A Woman s Issue. It is a Healthcare Issue Penny Lauricella, MHA (Executive Director, Pretty In Pink Foundation) 3:00 p.m. 3:15 p.m. BREAK 3:25 p.m. 4:25 p.m. Live and Work in Joy and Peace Becky Ross, BSE, MSE Pending ASRT CE Approval. Subject to change without notice.
Pre-Registration Form Best Western One-Day Seminar Saturday, March 7, 2015 Huffman Mill Road Burlington, NC Date of Registration: NCSRT, Inc. Membership (if applicable) #: Last Name: First Name: MI: Home Phone: Work Phone: Mobile Phone: Mailing Address: City: State: County: Zip: Email Address: Indicate Registry: (R) (N) (T) (MR) (M) (CT) (QM) (BD) (CI) (VI) (CV) (VS) (Breast Sono) (R.R.A.) (circle all that apply) Other: C.N.M.T. R.D.M.S. R.N. R.C.I.S. Student (specify modality and program) Seating Limited** Please pre-register early** FAX: 888-276-8931 One-Day EARLY REGISTRATION FEES (If you register ON or BEFORE Monday, March 2, 2015): *** *Members: $110.00 *Non-Members: $220.00 *Student Members: $55.00 *Student Non-Members: $110.00 One-Day REGISTRATION FEES (If you register AFTER Monday, March 2, 2015): *** *Members: $135.00 *Non-Members: $245.00 *Student Members: $80.00 *Student Non-Members: $135.00 SEMINAR REGISTRATION FEE INCLUDES BREAKFAST, LUNCH and BREAKS *Non-members may qualify for member registration rates if MEMBERSHIP APPLICATION accompanies this registration form. OUT OF STATE TECHNOLOGISTS MAY REGISTER UNDER THE STATUS OF THEIR STATE IF PROOF OF STATUS IS PROVIDED. CREDENTIALS WILL BE CHECKED. PROOF OF MEMBERSHIP IS REQUIRED AT THE MEETING REGISTRATION IF YOU DO NOT PRE-REGISTER. CEC/ECE CREDITS WILL BE AVAILABLE. METHOD OF PAYMENT Make check or money order payable to NCSRT, Inc. CK # Visa MasterCard Credit Card #: Exp. Date: CVV #: Billing address required if different from applicant: Signature (as appears on card) To receive a refund, please submit your request to the NCSRT, Inc. Treasurer 14 days prior to the day of the meeting. Refunds will be issued based on your original method of payment and a 40% cancellation fee will be deducted. Full refunds will be applied if the conference is cancelled. The NCSRT, Inc. accepts no responsibility and offers no reimbursement for airfare or other expenses incurred by participants. By attending an NCSRT, Inc. event, you grant NCSRT, Inc. permission to use your name and likeness and your statements about the event in photographs, videos, advertising or any other type of promotional material. Unless you revoke this permission in writing to the NCSRT, Inc, by virtue of your attendance you agree to the use of your likeness in such materials. Central Office PO Box 52355 Durham, NC 27717-2355 Tel: (919) 724-5800 Fax: (888) 276-8931 E-mail: office@ncsrt.org Web Site: www.ncsrt.org
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Postage required ADDRESS SERVICE REQUESTED NCSRT, Inc. An Affiliate of the ASRT P.O. Box 52355 Durham, NC 27717-2355 Phone: 919-724-5800 Fax: 1-888-276-8931 office@ncsrt.org Website: www.ncsrt.org P.O. Box 52355, Durham, NC 27717-2355 Tel 919-724-5800 Fax 1-888-276-8931 W W W. N C S R T. O R G