Louisiana Nursing Home Assoc

MDS 3.0 Online Registration

MDS 3.0 Training Workshop

August 17, 18, & 19, 2010

Marksville, LA

Paragon Casino Resort

PLEASE NOTE:

LNHA does not accept credit cards. If you register online, please print out a copy of your confirmation and send with your payment to: LNHA MDS 3.0 Training Workshop, 7844 Office Park Blvd., Baton Rouge, LA 70809.

Name (one per registration please)

Faciltiy Name

Job Title

Date of Birth

Last 4 Digits of SSN

Facility Address

City State Zip

Phone

Email

LNHA does not accept credit cards. Please mail your payment and a copy of your online registration form to LNHA MDS 3.0 Training Workshop, 7844 Office Park Blvd., Baton Rouge, LA 70809.

Cost:

$475: LNHA Member
$800: Non-Member

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