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Annual Conference - "Stop The Bleeding - Bandage Solutions Don't Work!"

October 12 and 13, 2006

Halifax Marriott Harbourfront Hotel

1919 Upper Water Street
Halifax, NS B3J 3J5

(see map & directions) (see venue floor plan)

Program

Registration

Speaker Bios

Sponsorship

Hotel & Attractions

Policies

Payment will be accepted in Canadian funds by cheque, money order, Visa, Mastercard or Amex. Credit card payments must be completed in full, signed and faxed to 416-596-9532. All cancellations or transfer requests must be in writing and will be subject to an administration fee of $150. Any cancellations received on or after the opening day of the conference will be subject to all registration fees.

The conference registration form will be submitted online directly to the CHCAA conference committee.

Fees include all conference materials, breakfast and lunch daily, and welcome reception. All entertainment event fees are included with basic conference registration fees. However, entertainment fees apply to guests registering for the dinner and entertainment event only.

Registration is a three-step process:

• Fill out this form and click 'Register Me Now!'
• Review the information you've submitted, then click 'Confirm'
• Print your registration receipt and payment form, then mail/fax your payment.

Registration Details
Earlybird Registration (On or Before August 11, 2006) (Prices include 6% GST)	Late Registration (After August 11, 2006) (Prices include 6% GST)
Members - $477.00 Non Members - $524.70	Members - $524.70 Non Members - $577.70
I am a CHCAA member.
This registration is GST exempt.
I am a speaker at this conference.
I am a vendor at this conference.
I wish to register as a guest (for entertainment ONLY).
Personal Information
Title:	-- Ms. Dr. Mr. Mrs. Other
If Other, Please Specify:
First Name (Required):
Last Name (Required):
Name for Badge, If Different:
Contact Information
Address Type:	Home Office
Street Address:
City:
Province:
Postal Code:
Country:
Tel:
Fax:
E-mail (Required):
Organization Information
Organization Name:
Organization Type:	-- Public payer Private payer Federal government agency Provincial government agency Law enforcement Health profession association Health profession regulator Third party administrator *Other
Organization Type (*if Other):
Confirmation of Attendance
I will be attending:	Day One and/or Day Two of the CHCAA Conference
Special Requests and Requirements
Special meal(s) requested (specify):
Other Information
Preparer Name:
Preparer Phone Number:
How did you hear about our conference?	Please select Email from CHCAA Email from professional association CHCAA web site Received a faxed conference notice Other web sites (specify web site) Other (please specify)
If Other, Please Specify:
How would you prefer to hear about future conferences?	Please select Email from CHCAA Email from professional association Receive a faxed conference notice Receive a printed conference notice in the mail Other (please specify)
If Other, Please Specify:
Workshops & Entertainment (Required) (Hold down the CTRL key while clicking to select multiple events)
Day 1, Morning Sessions
Not Attending Sessions Compression Stockings Dental Practice: Are YOU Getting Cleaned Understanding Forensic Investigations Compliance Continuum - Avoid The Pendulum
Day 1, Afternoon Sessions
Not Attending Sessions Get The Answers You Want - The Right Way Case-oriented Reviews of Common Practices in Alternative Health Care Clinical Settings Data Mining: How To Find The "Needle In The Haystack" Raising Public Fraud Awareness Through a Dynamic Website
Day 2, Morning Sessions
Not Attending Sessions ID Crime: Do You Know What To Look For Drugs or Money - It's Walking Out The Door! Don't Go It Alone - There's Legal Help Available Travellers Beware: Out-of-Country Claims Fraud
Day 2, Afternoon Sessions
Not Attending Sessions How Nova Scotia Is Addressing Concerns Through Drug Monitoring Red Flags in Disability Best Practices in Provider Audit - Cory Report Mail Distribution - Internet Crime and Theft of Mail
Entertainment (Choose one or more - hold CTRL to select more)
Not Attending Sessions Wednesday Night Reception Wine & Cheese Reception Dinner and Entertainment Event: Mike Mandel - Hypnotist
Registration for the dinner and entertainment event costs $53.00 (including GST) for guests All entertainment event fees are included with basic conference registration fees. However, entertainment fees apply to guests registering for the dinner and entertainment event.

All fees must be received prior to attending Sessions. To complete your conference registration, please mail registration fees payable to the Canadian Health Care Anti-Fraud Association to:

Ms. Jacinta Khan
CHCAA
386 Huron Street
Toronto, Ontario M5S 2G6