REGISTRATION

The 51st Institute on Medicine and Religion:
Food, Nutrition and Brain Health: From Evidence to
Practice CHE520 October 20, 2017 ~ 9AM - 4:30PM

Please contact WMHS at the phone number below for any questions you have. To Register on-line fill out this form and be prepared to pay through PayPal. Registration by telephone is NOT available. To register via postal mail complete the form found HERE and mail with a check to:

Professional Development
Western Maryland Health System
12500 Willowbrook Rd
Cumberland, MD 21502
240-964-8500
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CONTINUING EDUCATION UNITS

CHECK TYPE OF CREDIT YOU ARE SEEKING:*
Nursing
C.M.E.
Clergy
Social Work
Counselors
All Others

Are you taking this for: (Mark one):*
Work / Professional
Personal Development
Are you a WMHS or ACM Employee: (Mark one):*
No
Yes

Course Cost: $75.00 (WMHS employees: $55.00) includes morning refreshments and a brain healthy lunch. Attendees will receive Dr. Ramsey's book Eat Complete.

Register By: October 13, 2017



If paying by check please make checks payable to WMHS and attach the filled out printable version of this form found HERE.

Allegany College of Maryland does not discriminate against any individual for reasons of race, ethnicity, color, sex, religion or creed, sexual orientation, gender identity or expression, national origin, age, genetic information, familial status, disability or veteran status in the admission and treatment of students, educational programs and activities, scholarship and loan programs, or to terms and conditions of employment, including but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation and training. Allegany College of Maryland complies with applicable state and federal laws and regulations prohibiting discrimination and Maryland prohibits retaliation in any form against any person who reports discrimination or who participates in an investigation.