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This program has been approved for 5.75 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100 Irving TX 75063 COURSE OUTLINE: • DOT regulations • Oxygen and Oxygen Equipment safety • cGMP and FDA requirements • What to expect during an accreditation inspection • Proper Equipment Handling • Hazmat Security Awareness WHO SHOULD ATTEND: HME operations managers, transfillers and service technician personnel. SEMINAR: Applied’s popular regional seminar has been updated and enhanced*! This seminar is designed to help meet all the FDA cGMP training requirements in one session. You’ll see our popular oxygen demos, learn the most current FDA and DOT requirements, get an official serialized certificate of training, automatic reminders to complete training next year and resources to take home with you to cite all the requirements you learned! *REPEAT ATTENDEES – please see our new scheduled time for updated and enhanced material EARLY REGISTRATION FEE: Per Attendee…………..$349.95 (must register by ) After ………. $389.95 RETURN FORM TO: Applied Home Healthcare Equipment 28825 Ranney Pkwy Westlake, OH 44145 Phone: (440) 716-9962 Fax: (440) 871-9964 Check our web site for additional locations and dates www.applied-inc.com YES, I wish to attend the Oxygen Safety and FDA, DOT Regulatory Seminar on QUESTION? Please call (440) 716- 9962. REGISTRATION INFORMATION: (PLEASE PHOTO COPY FORM FOR ADDITIONAL REGISTRANTS) NAME: TITLE: COMPANY NAME: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE: FAX: METHOD OF PAYMENT: □Payment is enclosed (check made payable to Applied Home Healthcare Equipment) □Bill my credit card: □Visa □MasterCard card no.___________________________ expiration date________ name on card__________________________________________ signature______________________________________________ CCV#_________________________________________________ Please list total amount enclosed or to be charged: $_____________ Cancellation Policy: Seminar registration transfer requests must be received in writing at Applied no later than 10 days prior to the date of the seminar to be considered for a credit. Seminars are non-refundable and no cash refunds will be granted. Applied reserves the right to cancel seminars due to emergencies, insufficient registrations, etc. If you do not wish to continue to receive faxes from Applied, please email to [email protected] or call 888-327-7301 Oxygen Safety, FDA, DOT & Accreditation Seminar Seminar Scheduled Time: See www.applied-inc.com for more locations

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Page 1: Oxygen Safety, FDA, DOT & Accreditation Seminar · COURSE OUTLINE: • DOT regulations • Oxygen and Oxygen Equipment safety • cGMP and FDA requirements • What to expect during

This program has been approved for 5.75 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100 Irving TX 75063

COURSE OUTLINE: • DOT regulations• Oxygen and Oxygen

Equipment safety • cGMP and FDA

requirements• What to expect during an

accreditation inspection• Proper Equipment

Handling• Hazmat Security

Awareness

WHO SHOULD ATTEND: HME operations managers, transfillers and service technician personnel.

SEMINAR: Applied’s popular regional seminar has been updated and enhanced*!

This seminar is designed to help meet all the FDA cGMP training requirements in one session. You’ll see our popular oxygen demos, learn the most current FDA and DOT requirements, get an official serialized certificate of training, automatic reminders to complete training next year and resources to take home with you to cite all the requirements you learned!

*REPEAT ATTENDEES – pleasesee our new scheduled time forupdated and enhanced material

EARLY REGISTRATION FEE: Per Attendee…………..$349.95 (must register by ) After ………. $389.95

RETURN FORM TO: Applied Home Healthcare Equipment 28825 Ranney Pkwy Westlake, OH 44145 Phone: (440) 716-9962 Fax: (440) 871-9964

Check our web site for additional locations and dates www.applied-inc.com YES, I wish to attend the Oxygen Safety and FDA, DOT Regulatory Seminar on

QUESTION? Please call (440) 716-9962.

REGISTRATION INFORMATION: (PLEASE PHOTO COPY FORM FOR ADDITIONAL REGISTRANTS) NAME: TITLE:

COMPANY NAME:

STREET ADDRESS:

CITY: STATE: ZIP:

TELEPHONE: FAX:

METHOD OF PAYMENT: □Payment is enclosed (check made payable to Applied HomeHealthcare Equipment) □Bill my credit card: □Visa □MasterCardcard no.___________________________ expiration date________name on card__________________________________________signature______________________________________________CCV#_________________________________________________

Please list total amount enclosed or to be charged:

$_____________

Cancellation Policy: Seminar registration transfer requests must be received in writing at Applied no later than 10 days prior to the date of the seminar to be considered for a credit. Seminars are non-refundable and no cash refunds will be granted. Applied reserves the right to cancel seminars due to emergencies, insufficient registrations, etc. If you do not wish to continue to receive faxes from Applied, please email to [email protected] or call 888-327-7301

Oxygen Safety, FDA, DOT & Accreditation Seminar

Seminar Scheduled Time: See www.applied-inc.com for more locations

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