Dayton, Ohio
September 13-15, 2013
Clinical Myofascial Release
For Speech Pathologists
Course Registration
Last Name ______________________________________________________________________________
First Name _______________________________________________ M.I. ___________________________
Home Address ___________________________________________________________________________
City, State, Zip Code _______________________________________________________________________
Home Phone _______________________________ Cell Phone ____________________________________
Work Address ___________________________________________________________________________
Work Phone _______________________________ Email Address _________________________________
Payment Information
$380 per person- 2 ½ Day Seminar
Included in cost:
Course registration and materials
Daily breakfast, lunch, and snack breaks
Friday night reception
Make checks payable to: Southwest Ohio ENT Specialists, Inc.
Send Checks and Completed Registration to:
BBIVAR
ATTN: MFR Workshop
1222 S. Patterson Blvd.
Dayton, OH 45402
Deadline for Registration is
August 1, 2013
Due to Hands-On Training: Limited Space Available
Clinical Myofascial Release for Speech
Clinical Pathologists
Myofascial Release for Speech
Pathologists
This 2 ½ day seminar will provide participants with hands-on training in Myofascial Release (MFR)
Additional
Information
techniques for speech pathologists. No prior
MFR trainingCourse
is necessary.
A half-day will be dedicated to an
introduction including MFR research as it applies to the field of speech pathology and efficacy data
Location
andThere
Lodging
related to MFR through invited
lectures.
will be 12 hours of direct hands-on training. The master
TheLikens
program
willOTR/L.
be heldUpon
at thecompletion
Marriott Courtyard.
It is conveniently
MFR clinician will be Dru
Pape,
of the course,
participants will be
located
directly
off ofand
I-75how
neartothe
University
of Dayton.
familiar with the
concepts
of MFR
apply
principles
to clinical practice.
st
Special
roomswimsuit
rate of or
$92/night
(must
be booked
by August
) for for gents
 Dress in layers: Labwear:
2-piece
bra/undies
for ladies,
loose-fitting
shorts or1 briefs
available
atdry
theskin
conference
location:
 Techniques will beattendees
performed are
directly
on clean,
(participants
should not wear lotions/makeup)
Courtyard Marriott Dayton –
Course Instructor Information
University Occupational
of Dayton Therapist
Dru Likens Pape is an experienced
2006 Edwin
Moses
Blvd. and
and graduate of the prestigious
LomaC.Linda
University
Dayton,
Ohio 45417
Medical Center in Southern
California.
Throughout
(937)-220-9060
her career she has combined
her love of art and science to
For more information:
Contact Erin Donahue
edonahue@soents.com
www.BBIVAR.com
create her unique approach
to occupational
therapy. Dru
Links for
room booking:
by The
Dayton-University ofSponsored
Dayton for 92.00
perBlaine
night Block
has spent the entirety Book
of herKing/sofa
29 years at
as Courtyard
an Occupational
Therapist treating bothBook
pediatric
and
adult at
individuals
Institute
forforVoice
Double
Queen
Courtyardwho
Dayton-University
of Dayton
92.00Analysis
per night &
are significantly handicapped or in pain. Of the many health
Rehabilitation,
care studies she has pursued in order to meet the highDaily
level Schedule
In Cooperation with the
needs of her patients, Dru discovered one approach that
Friday, September 13th
University of Cincinnati
made the most significant difference in her own lifeRegistration
and in
12:00-1:00pm
the lives of her patients. For this reason, Clinical
Dru has Research
dedicated Presentations 1:00-5:20 pm
Q F.
& A 5:20-5:30 pm
her life's work to the ongoing study and practice of John
Reception
6:30 pm
Barnes Myofascial Release Therapy. Dru is an "Expert
Level" John F. Barnes Myofascial Release Therapist TM. She
Saturday, September 14th
has completed all of the MFR Seminars and clinical
Introduction 9:00-9:05 am
requirements exclusively with John F. Barnes, PT, MT,
MFR Instruction 9:05-12:15
NBCMT.
Lunch 12:15-1:15 pm
MFR Instruction 1:15-4:35 pm
Drucilla Likens Pape, employed by the Intuitive Body, is receiving a Q & A 4:35-4:45
speaking fee for this presentation, and has no other financial or non- Dinner TBD
financial relationships to disclose.
Sunday, September 15th
Introduction: 8:30-8:35 am
MFR Instruction 8:35-11:45 am
Lunch 11:45-12:45 pm
MFR Instruction 12:45-3:50 pm
Q & A 3:50-4:00
End of Conference 4:00 pm
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This course is offered for 1.6 ASHA CEUs (Introductory level; Professional area)
Wendy LeBorgne, employed by Southwest Ohio ENT Specialists, has no financial or non-financial relationships relevant to the content of this presentation.
Erin Donahue, employed by Southwest Ohio ENT Specialists, has no financial or non-financial relationships relevant to the content of this presentation.
Stephen Gorman, employed by Southwest Ohio ENT Specialists, has no financial or non-financial relationships relevant to the content of this presentation.
Jennifer Reitz, employed by Southwest Ohio ENT Specialists, has no financial or non-financial relationships relevant to the content of this presentation.
Jennifer Kegyes, employed by Southwest Ohio ENT Specialists, has no financial or non-financial relationships relevant to the content of this presentation.
Patrick Buchanan has no financial or non-financial relationships relevant to the content of this presentation.
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