American Academy of Oriental Medicine Family Practitioners 619 East 6th Street ▫ Texarkana, AR 71854 ▫ (870) 772-8622 AAOMFP@VALORNET.COM The American Academy of Oriental Medicine Family Practice A.A.O.M.F.P was established in 1997 as a post-graduate educational program offering classes and internships leading to board certification in Oriental Medicine Family Practice/Diplomat Oriental Medicine Family Practice (D.O.M.F.P.) or a certificate in advanced Oriental Medicine techniques. The Diplomat program and the advanced Oriental Medicine techniques certification program both include training in all injection modalities. The A.A.O.M.F.P. Programs are open to all Doctors of Oriental Medicine / Acupuncturist. A.A.O.M.F.P. programs may be available to other professionals upon A.A.O.M.F.P. board approval of their application. The A.A.O.M.F.P. also offers assistance to state Oriental Medicine Societies involved in legislation for advanced Oriental Medicine procedures. At present we are an approved continuing education provider by the following state boards, professional groups and agencies. Arkansas State Board of Acupuncture and Related Techniques West Virginia Board of Acupuncture Florida Board of Acupuncture New Mexico Board of Oriental Medicine-In Application. _______________________________________________________________ o National Certifying Commission for Acupuncture and Oriental Medicine N.C.C.A.O.M. Professional Development Activity (PDA) provider. _______________________________________________________________ o AOMNC-Acupuncture & Oriental Medicine National Coalition. o American Association Of Oriental Medicine A.A.O.M. o Arkansas Association Of Oriental Medicine Ar-AOM _______________________________________________________________ o We are in application for accreditation as a postgraduate specialty program in Oriental Medicine Family Practice from the National Oriental Medicine Accreditation Agency. (N.O.M.A.A.) _______________________________________________________________ o o o o The A.A.O.M.F.P. is constantly updating our curriculum and applying for provider status in other states. Board Members/ Instructors Dan Martin D.O.M., O.M.D., D.O.M.F.P, Director / Instructor Joe Gallucci D.Pharm. Copyright 2005 Dan Martin D.O.M. 1 Libby Moody D.O.M., R.T., D.O.M.F.P. Instructor Dayna Cigainero M.A. Bob English D.C. Instructor Board Members/Instructors con’t Libby Moody D.O.M., R.T., D.O.M.F.P. Bob English D.C. Richard A. Freiberg, O.M.D., N.M.D., D. Ac, A.P. Instructors at large; Janice Vigh D.O.M., Dipl. C.H. D.O.M.F.P. Julia Rader O.M.D, D.O.M, CA. D.O.M.F.P. Judy Brown F.N.P., certified nurse practitioner. Alicia Wyatt D.Pharm. James Sheets D.Pharm Pat Billingsley E.M.T.-paramedic Advisors Charlotte James, O.M.D., N.M.D., A.P., D.N.B.H.E, David N. Sontag, O.M.D, A.P., D.C.O.M.F.P Paul J. Reinhardt, M.D., N.M.D., I.M.D. Richard A. Freiberg, OMD, NMD, D. Ac, AP Joe Gallucci D.Pharm. Al Stone, O.M.D Darrell Samples, O.M.D. Legal Darren Anderson J.D. Copyright 2005 Dan Martin D.O.M. 2 American Academy of Oriental Family Medical Practitioners 619 East 6th Street ▫ Texarkana, AR 71854 ▫ (870) 772-8622 AAOMFP@Valornet.com Applicant Information Full Name: Last Date: First M.I. Address: Street Address Apartment/Unit # City Phone: ( State ) ZIP Code E-mail Address: Education College: Address: YES From: To: Other: Degree: Address: YES From: NO Did you graduate? To: NO Did you graduate? Degree: What is/are your professional discipline/s?: State license and license number: References Please list three professional references. Full Name: Relationship: Clinic: Phone: ( ) Phone: ( ) Address: Full Name: Relationship: Clinic: Address: Copyright 2005 Dan Martin D.O.M. 3 Full Name: Relationship: Clinic: Phone: ( ) Address: Courses Tuition is $500.00 per module. Textbooks will be available at suggested retail cost. For a list of required textbooks contact A.A.O.M.F.P. and Deanna @870-772-8622. 2006 Class schedule: February 23, 24 & 25. Instructor TBA Trigger Point Injection Therapy: Basic Science and Technique –10 hours . Neural Therapy – 5 hours. Prolotherapy: Basic Science, Clinic Studies, and Technique – 10 hours. Point Injection Therapy - 5 hours. *Practical and written exam included. _________________________________________________________________________________ March 23, 24, 25 & 26. Part 1. Intravenous Therapy – 80 hours. -EDTA 40hours. -Oxidation15 hours. -Plaquex 10 hours. -Myers Multi Vitamin /Mineral.15hours. *Practical and written exam included ________________________________________________________________________________ April 26, 27, 28 & 29. Instructor TBA Part 1. Intravenous Therapy – 80 hours. -EDTA 40hours. -Oxidation15 hours. -Plaquex 10 hours. -Myers Multi Vitamin /Mineral.15hours. *Practical and written exam included ________________________________________________________________________________ May 24, 25, 26 & 27. . Instructor TBA Western Physical Examination – 10 hours. X-Ray Interpretation –10 hours. Western Orthopedic and Neurological Evaluations – 20 hours. Blood Chemistry and Urinalysis basic – 10 hours. Copyright 2005 Dan Martin D.O.M. 4 *Practical and written exam included. ________________________________________________________________________________ June 22, 23 & 24. . Instructor TBA Western Pharmacology I – 20 hours. BHRT Bio Identical Hormone Replacement Therapy I– 12 hours. Homeopathic Medicine Injections-5 hours. Clinical Nutrition –5 hours. *Practial and written exam included. _________________________________________________________________________________ July 27, 28 & 29. Instructor TBA Western Pharmacology II – 20 hours. BHRT Bio Identical Hormone Replacement Therapy II– 12 hours. Clinical Nutrition –5 hours. August 24, 25 & 26. 8.Oxygen Therapy – 5 hours. 17. Mesotherapy Injections 12 hours 18. Anaphalaxis management –10 hours *Practical and written exam included. Advanced Oriental Medicine Techniques Certification Course – 346 hours Copyright 2005 Dan Martin D.O.M. 5 Diplomat in Oriental Medicine Family Practice. To become Board Certified in Oriental Medicine/ Diplomate in Oriental Medicine Family Practice you must complete ALL of the following. 1. 2. Advanced Oriental Medicine Techniques Certification Course –310hours. The following additional modules. Advanced Oriental Medicine Injection Techniques 15 hours. Hypothyroidism evaluation diagnosis treatment strategies 15 hours. Candidiasis and associated conditions treatment strategies 20 Oriental Medicine Cancer strategies. 20 hours Bio -Terrain and darkfield microscopy 20hours. 3. 4. 5. 40 hour internships with a Doctor of Oriental Medicine who is a Diplomate in Oriental Medicine Family Practice Pass all oral and written exams. Complete all correspondence assignment. Payment Payment by: Check Visa Master Card Name as Printed on Card: Card Number: Expiration Date: Authorized Signature: ________________________________________________ Register through: American Academy of Oriental Family Medical Practitioners Phone: (870) 772- 8622 Fax: (870) 779-8477 Mail: A.A.O.M.F.P 619 East 6th Street Texarkana, AR, 71854 Email: AAOMFP@Txk.net Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview may result in my release from the program. All applicants are subject to approval by the American Academy of Oriental Medicine Family Practitioners. Signature: Date: Copyright 2005 Dan Martin D.O.M. 6 Four Points Texarkana Texarkana, TX This six-story hotel, on the Texas-Arkansas state line, is within five miles of major companies. Guestrooms feature complimentary ... More lodging info Rooms/units may be available Baymont Inn Texarkana Texarkana, TX Located on the Texas and Arkansas state line, this hotel is 5 miles from Texarkana Regional Airport. Guestrooms feature cable TV, coffee ... More lodging info Rooms/units may be available La Quinta Inn Texarkana Copyright 2005 Dan Martin D.O.M. 7 Texarkana, AR Two miles from downtown Texarkana attractions, this hotel is three miles from Central Mall and the University of Arkansas. Guestrooms offer ... More lodging info Rooms/units may be available Super 8 Texarkana Ar Texarkana, AR This hotel is 5 miles from Lake Bistineau State Park and 3 miles from Texarkana Regional Airport. 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