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Registration Form
Name:_________________________________
Profession:______________________________
Certification #:___________________________
Mailing Address__________________________
Dayton Sports
Medicine Institute
______________________________________
City:___________________________________
State:_________ Zip Code:_________________
1 3 th A n nu a l S p or ts
I n ju ry S y m pos iu m
T h ur s da y, M a r c h
2 6 th a n d F r id a y ,
M a r ch 2 7t h
Home Phone:____________________________
Business Phone:__________________________
E-mail Address:__________________________
I will be attending:
Thursday
Friday
Both days
T w o d ay sy m pos iu m fo r
ath le tic tr ain e r s , te am
p hy s ic ians , phy s ic al
th e r ap is ts , an d o th e r allie d
h e alth p ro f es s io n als
Make checks payable to: Dayton Sports Medicine
Institute
Or
Credit Card (check one): MC
Visa
Name on credit card:______________________
Credit Card #:___________________________
Expiration Date:__________________________
Signature_______________________________
Dayton Sports
Medicine Institute
Return to:
Dayton Sports Medicine Institute
7677 Yankee Street, Suite110
Centerville, OH 45459
Or register online and mail payment to above
Address.
www.ketteringhealth.org/sportsmed/education.cfm
***Space is limited this year so register early***
Dayton Sports Medicine Institute
7677 Yankee St Suite 110
Centerville, OH 45459
Phone: 937-401-6400
www.ketteringhealth.org/sportsmed
Kettering Health Network
937-401-6400
Course Fees:
Agenda:
Faculty:
Thursday $25, Friday $50, both days $75
Cancellation Policy:
Refunds will be given if received in writing at least one
week prior to symposium. Administration fee of $20 for all
refunds
Continuing Education:
This program is approved for 2 CEUs for Thursday, 4.75
CEUs for Friday and 6.75 for both days by the BOC and
the OPTA.
C. Fritz Froehlich, Dipl.Ac., L.Ac.
March 26, 2015
7:00-9:00 p.m.
March 27, 2015
7:15-7:45 a.m.
Registration
7:45--8:00 a.m.
Welcome
8:00-8:40
Paul Sparling, M.ED., AT, ATC
Contact Persons:
For further information, call Nikki Bennett, MS, AT, ATC,
Alex Brummett, AT, ATC or Lori Oda, MS, AT, ATC at
the Dayton Sports Medicine Institute at (937) 401—6400 or
email at nikki.bennett@khnetwork.org
NFL Injury Case Studies
8:40-9:20
9:20-10:00
Take 675 South to Exit 2 Miamisburg/Centerville. Turn right off
exit onto Yankee and the next left into Yankee Medical Center
driveway. Building number is 7677.
From the South: Take I-75 North toward Dayton. Merge onto I675 North via Exit 43 toward Columbus. Take Exit 2
Miamisburg/Centerville turn left on Miamisburg Centerville Rd.
(OH 725). Turn right into Southview Hospital Campus. Keep
right. The Yankee Medical Center will be the 4th building.
Building number is 7677. Go around and park in the front.
Woody Goffinett, MBA, AT, ATC, EMT-P
Spine Board Myths
10:00-10:15
Break
10:15-11:00
Jason Pickett, MD
7677 Yankee St, Centerville, OH 45459
From the North: Take I-75 South toward Dayton to 675 North
toward Columbus. Take exit 2 Miamisburg/Centerville and turn
left on Miamisburg Centerville Rd. (OH 725). Turn right into
Southview Hospital Campus. Keep right. The Yankee Medical
Center will be the 4th building. Building number is 7677. Go
around and park in the front.
OR
Adam Pitsinger, DC
Gluten Intolerance and Celiac Disease
***Space is limited so register early***
Directions to Yankee Medical Center,
C. Fritz Froehlich, Dipl.Ac., L.Ac.
Korean Hand Therapy Techniques
Pulmonary Embolism in a Police Cadet
11-11:40
Bill Walker, MA, AT, ATC
Management of the Athletic Training
Room
11:40-12:25
Heather Schradin, PT, DPT, CIDN
Integrative Dry Needling: Basic Concepts
and Indications
12:25-1:00
Bryan Rogers, MS, AT, ATC, EMT-T
Medical Personnel becoming Tactical
Medics: A New Perspective
Please check website for updates or changes.
Far Hills Acupuncture
Woody Goffinett, MBA, AT, ATC, EMT-P
Wilson Memorial Hospital
Adam Pitsinger, DC
Byers Chiropractic Center, Waynesville, Ohio
Paul Sparling, M.ED., AT, ATC
Cincinnati Bengals
Jason Pickett, MD
Miami Valley Hospital
Bill Walker, MA, AT, ATC
Oxford Physical Therapy, Oxford, Ohio
Heather Schradin, PT, DPT, CIDN
Beavercreek Health Center
Bryan Rogers, MS, AT, ATC, EMT-T
Dayton Sports Medicine Institute