ASPIN's mailing address: 3600 Woodview Trace, Ste. 103, Indianapolis, IN 46268.
For questions please contact Paul Conrad, phone 317-471-0000.

Registration deadline: 5 business days before the day of training. Late fee of $10 added for registrations submitted after the deadline. Registrations not refundable for cancellations made after the registration deadline. No refunds for no-shows.

Thank you for your registration.!

First Name:		Last Name:
Company/institution					Email
Address					Phone
City		State					Zip
Instructor Led Classroom Training:
Training Session	Case Management Clinical Series Management Series Supervisory Skills Other Training	Specific Clinical Training
Training Date (s) or comments  Select One Issues In Domestic Violence & Domestic Violence and Substance Abuse | 2/26/10 Medical Necessity: How to understand it at a practical level 3-26-2010
					I will be attending VIA Webinar
					I will be paying by Credit Card
Do you need any special accommodations? Please enter any special accommodations needed here
ONLINE Training ONLY :
	Case Management Series Online Module One Module Two Module Three Module Four Module Five
	Supervisory Skills Series Online  Module One Module Two Module Three
	Management Certificate Program Online Interviewing & Hiring Speaking as a Manager
	Criminal Justice Series: Please choose from the list below Children at Risk: Meth Contamination Issues and Procedures Addressing Behavioral Health Issues of Transitioning Ex-Offenders
	Online Clinical Series: Please choose from the list below: Multicultural Issues: Working with Sexual Minorities – Gay Men, Lesbians and Bi-sexuals Introduction to Cultural Competency Ethical Practice in a Multicultural Society: A Review of Professional Codes Common Mental Health Disorders in Adolescence: Overview for the Case Management For Children and Adolescents in the New Era Grief and Loss in Childhood Childhood Relationships & Reactive Attachment Disorder Case Management for Older Adults Incorporating Smoking Cessation into Treatment Substance Abuse and Addictions: Working With Resistant Clients Team Leadership and Management Skills Practice Evaluation Client Advocacy Legal Issues in Mental Health The Ethics of Group Counseling
	HR Series:
	Employment Law Updates 2010 4/13/10
Payment:
Check	Invoice my facility ( ASPIN members only)			PayPal			Check here if you would you like to be notified of training information via email

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Standard Fees:

Clinical : Members: $65.00  Affiliate and Panel Providers: $115.00  Non-Members: $165.00
Supervisory Skills: Cost: Members: $75.00  Affiliate and Panel Providers: $125.00  Non-Members: $150.00
Management: Members: $100.00  Affiliate and Panel Providers: $150.00  Non-Members: $175.00
Case Management: Members: $75.00  Affiliate and Panel Providers: $125.00  Non-Members: $150.00

NOTE: Fees will vary for some trainings.