Registration - Atrium Medical Center

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Patient Information
(513) 705-4530

Patient Financial Services
(513) 420-5033
(866) 674-4737 toll free
Monday-Friday 8:00 am - 4:30 pm

Medical Records Department
(513) 420-5200
Monday-Friday 8:00 am - 4:30 pm

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Fill out the form below to reserve your seat for the Professional Advisors Seminar.

* Name:
* Business:
* Address Line 1:
Address Line 2:
* City:
State:
* Zip/Postal Code:
* Phone:
Fax:
* Email:
I will be applying for continuing education from: (Credit hours will be announced the week of October 30) * Continuing education ID numbers are required for each certification you select. Accountancy Board of Ohio Society ID # Certified Financial Planners Board of Standards CFP ID # Institute of Certified Bankers (CTFA, CRSP, and CISP) CE ID # Ohio Supreme Court Commission on CLE Ohio Bar Registration # Ohio Department of Insurance National Provider Identification # Verify NPN (Per CE regulations, Insurance agents must attend entire program to receive credit.)
I plan on attending the afternoon session on:
* 1:00 - 2:00 pm
* 2:15 - 3:15 pm
* 3:30 - 4:30 pm
Yes, I would like to be contacted about sponsoring a table at the vendor fair.
Services for Physically Challenged Individuals: Atrium Medical Center Foundation wishes to take reasonable steps to ensure no individual who is physically challenged is discriminated against because of the absence of the auxiliary aids and services. If special arrangements are needed, please contact us at Foundation@AtriumMedCenter.org or (513) 420-5144.
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