New York Chiropractic College
2017 Continuing Education
Information Form & Follow-upInstructions
Welcome Chiropractors!
Thank you for attending the 2017 Integrative Healthcare Symposium. Once again, we are pleased to announceNew York Chiropractic College will be a CE provider.
ATTENTION: Please be sure to read this notice in its entirety as it contains important information regarding attendee eligibility and instructions on submitting required documentation, in order to collect a CE certificate for this event.
Sign In/Out:
Chiropractors are required to sign in and sign out of each session attended. Sign in/out sheets will be provided at the Continuing Education Kiosk and must be submitted to a conference representative at the kiosk prior to leaving the conference along with a copy of your attendance form.
Upon signing-out, your initials and sign-outtime MUST be recorded where indicated on the sheet.
Note: If you do not follow this procedure, it is possible you may be disqualified by the State Chiropractic Boards from receiving CEUs for that particular session.
When floating between simultaneous sessions, you will receive partial credit for each session, not to exceed a full CEU for that session period.
Approved Sessions:
NOTE: Not all sessions are approved for all states. Please be sure to carefully review the Course Approval List prior to attending the conference. This list can be found on our website:
or may be obtained by visiting the Continuing Education Kiosk upon arrival at the event.
Eligibility by State:
Continuing education credit (CE) is provided by New York Chiropractic College (NYCC). This course is valid for CE credits in “pre-approved” states, so long as it falls within the scope of practice as outlined by the corresponding state board. It remains attendees’ responsibility to contact the state board(s) from which they seek continuing education credits for purposes of ensuring said board(s) approves both the delivery method and content as they relate to this event.
Approved States: NY, NJ
Pre-Approved States: CO, CT, DE, DC, GA, ID, IL, IN, IA, MD, MI, MS, MT, NE, NM, ND, OH, OR, PR, RI, SC, UT, VT, VA, WA, WY
License Renewal: While applications relating to credit hours for license renewal in selected states have been executed for these programs, it remains attendees’ responsibility to contact the state board(s) from whom they seek continuing education credits for purposes of ensuring said board(s) approve both venue and content as they relate to any seminar/course/lecture/webinar /online presentation (event). Neither a speaker’s or exhibitor’s presence at said event, nor product mention or display, shall in any way constitute NYCC endorsement. NYCC’s role is strictly limited to processing, submitting, and archiving program documents on behalf of course sponsors.
For information regarding these applications, please contact the NYCC Postgraduate Department at 800-434-3955, please use prompt 3.
Post-Conference Instructions:
New York Chiropractic College requires the collection of the following information in order to process continuing education credits. This information will be electronically sent and used by NYCC to process your continuing education credits.
1. Complete the belowChiropractor CE Form
2.Submit one form to a conference representative at the Continuing Education Kiosk prior to leaving the conference
3. Send the second completed form along with a check for $45.00 made payable to:
New York Chiropractic College
Postgraduate Office
70 Division Ave.
Levittown, NY 11756
Once Integrative Healthcare Symposium rosters are processed, a transcript will be made available to eligible attendees, approximately 4 Weeks following the event.
Forms and instructions may also be obtained at the Continuing Education Kiosk,
located in the registration lobby of the event
If you have any questions or concerns regarding the Continuing education program, please be sure to contact the Conference Manager at:
February 23-25, 2017 New York Hilton Midtown, NY
This program is approved for Continuing Education
Please see course approval list for approval by state licensure.
New York Chiropractic College requires the collection of the following information in order to process continuing education credits. This information will be electronically sent and used by NYCC to process your continuing education credits.
PLEASE PRINT! It is essential that we are able to transfer this information accurately.
*Mandatory Fields
1. * Last Name ______
2. * First Name ______3. Middle Initial ______
4. * Suffix/Credential (eg. DC)______
5. *National Provider Identifier ______
6. * State & license numbers(must list at least one state & license # in order to issue credit)
a. ______
b. ______
c.______
7. * Address Line 1 ______
8. Address Line 2 ______
10. * City ______11. * State ______12. * Zip code ______
13. * Office Phone ______14. Fax number ______
15. Home Phone ______16. Cell phone ______
17.* Email Address ______