Please fill out the below form and we will get back to youDate* MM slash DD slash YYYY Name* First Last Phone*Email* Do you have insurance?* Yes No We accept most insurance plans including Aetna, BCBS, Cigna, TriCare, United Health Care, Amerigroup, Cenpatico, Wellcare, and others.Name of Insurance Company Policy Number Cancellations received at least 10 days before the workshop are refundable less a $25 administrative charge per registrant. There is no refund for cancellations received later. Please note that if you register and do not attend, you are still liable for full payment. If the organizers for any reason cancel the workshop, a refund or voucher will be issued to any participant who is registered to attend the workshop.
