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Continuing Education Registration Form
Please submit one form per registrant
If you would like to register online using a credit card, please complete the information below:
  First Name:    
  Last Name:    
  Mailing Address:    
  Email (needed for course confirmation):      
If other, please specify:
  Residency Affiliation:  
  License Number:  
  APTA Member Number:  
  I am an ASHS PT alumnus:  Grad Year:  
  I am an ATSU Clinical Instructor who has taken students within the last year:
  I am registering with a group of 3 or more from the same clinical organization:
Organization Name:
ASHS PT Alumni, current ATSU Clinical Instructors (taken student(s) within the last year), and groups of 3 or more from the same organization may receive a discount on individual courses. For questions about registration or details on any of the courses please contact the Physical Therapy Department Program Manager, Whitney Williams, at or 480.219.6162.
CI Education & Credentialing Course
Lori Bordenave, PT, PhD
November 18th - 20th, 2016

Spinal Manipulation: Annual Update for Physical Therapy Level I
Tim Fearon, PT, DPT, FAAOMPT Britt Smith, PT, DPT, OCS, FAAOMPT
January 28-29, 2017

Exercise and Return to Sport for Athletes following Shoulder Injury
Todd Ellenbecker PT, DPT, MS, OCS, SCS, CSCS, USPTA
February 25, 2017

Treating Pain; Simplifying the Science of Pain for Better Clinical Results
John Woolfe PT, MS, ATC, COMT
March 25, 2017

Gait Analysis and Treatment of Running Injuries
Bryan Heiderscheit, PT, PhD
April 8, 2017

Mechanisms of Patellofemoral Pain: Implications for Rehabilitation and Injury Prevention
Chris Powers, PT, PhD, FACSM, FAPTA
May 13, 2017

Subtotal: $0.00
Discount: $0.00
Total: $0.00
If you would like to pay by check, please download the CEU registration form available here, print out the form and mail it with your check enclosed to:
A.T. Still University
Physical Therapy Dept.
Whitney Williams
5850 E. Still Circle
Mesa, AZ 85206

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