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Annual Conference - Stealing Health Care Dollars: Be Part of the Solution!

September 20-21, 2007

Hilton Toronto Airport

5875 Airport Road
Mississauga, Ontario L4V 1N1

(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 1, 2007) (Prices include 6% GST)	Late Registration (After August 1, 2007) (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, Afternoon Sessions
Not Attending Sessions Just the Facts - Making Your Case To Law Enforcement Provider ID Theft - Will the Real Provider Please Stand Up? Diagnosis Fraud - Medical Evaluations Dental Check-up - Update
Day 2, Morning Sessions
Not Attending Sessions E is for Disclosure - Merits of e-Document Management Drugs and Addiction - A Dual Perspective Putting Our Foot Down - Orthotics Fraud Fraud Inside the Dental Office
Day 2, Afternoon Sessions
Not Attending Sessions Finding the Fraudulent Needle in the Claims Haystack: Data Mining and Fraud Detection On Guard Against Fraud - Fraud Risk Management Strategies Red Flags in Disability Seeing Things Clearly - Optometrist Fraud Case Study
Entertainment (Choose one or more - hold CTRL to select more)
Not Attending Sessions Wednesday Night Reception Wine & Cheese Reception Dinner and Entertainment Event
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