St - CMSA-Tampa Bay

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January 29, 2015
Using Public Benefits Conference
AGENDA
8:30 a.m.
Registration begins
(continental breakfast provided)
9:00 a.m.
Florida Rules on Medicaid. New Legislative Updates and the Effect on Nursing Home and ALF’s.
Legislation Update on Durable Power of Attorney
Sean W. Scott, Esq., Sean W. Scott Elder Law
10:00 a.m.
Sunshine Healthcare Long Term Healthcare Program
Debra Wingo, Director of Long Term Care and Support Services
11:00 a.m.
Break (refreshments provided)
11:10 a.m.
Getting the Up To Date Facts on Medicare Rules and Supplements
Reggie Levine and Mark Carbillano Licensed Agent for A&B Insurance and Financial
12:00 noon
Lunch - Provided by St. Petersburg College
1:00 p.m.
S.H.I.N.E. Serving Health Insurance Needs of Elders
Roger L. Baxter, Volunteer Counselor
2:00 p.m.
Accessing VA Benefits for the Senior Veteran
Michael Dowling and Michael Hill Senior Services Officers
3:00 p.m.
Break (refreshments provided)
3:10 p.m.
Disability and SSI
Attorney David Lillesand, Lillesand and Wolasky, P.L.
4:00 p.m.
Closing Remarks, Presentations and Evaluations
Presentation of Certificates
St. Petersburg College
CONTINUING EDUCATION – HEALTH
REGISTRATION FORM
Name _____________________________________________Social Security No. _____________________________________
Last
First
M.I.
Permanent mailing address__________________________________________ Gender (optional)  M  F
Street City County
State
ZIP
Telephone(_____)_________________________(_____)_________________________Birthdate(optional)_____/_______/______
Work/Daytime
Home/Evening/Cell
e-mail address ____________________________________________________________________________________________
Information on ethnic origin of students is VOLUNTARY and will not be used for discriminatory purposes. Please check the appropriate box:
(optional):  White Non-Hispanic  American Indian or Alaskan Native  Black Non-Hispanic  Hispanic  Other  Asian or Pacific Islander
Class Title
Using Public Benefits in Nursing Homes and ALFs
Class #
4670
Course #
HHP 0335
Date Start
1/29/2015
Time Start
9:00a- 4:00p
Building/Room
HEC Thurs.
Day
$49:
Fee
REGISTRATION INFORMATION: For online CE Health courses, go to www.OnlineCE.net. IN PERSON—Go to Registration at the Allstate Center,
Caruth Health Education Center, Clearwater, Seminole, St. Petersburg/Gibbs, or Tarpon Springs sites. BY MAIL—Send this form with your check or
credit card authorization to SPC, CE Health Registration, P.O. Box 13489, St. Petersburg, FL 33733-3489. BY PHONE—(727) 341-4772. BY FAX—
(727) 341-3494.
PAYMENT INFORMATION: By CHECK/MONEY ORDER: Payable to SPC. DO NOT MAIL CASH. (NOTE: NO CONFIRMATIONS ARE SENT.)
By CREDIT CARD:  American Express  VISA  MasterCard Credit Card Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiration Date:
_______
SIGNATURE:______________________________________________________________________DATE________________________________
___________
REFUND INFORMATION: Refund Requests: Must be made in writing: NO REFUNDS/CANCELLATIONS ONE WEEK PRIOR TO CLASS.
Refund Requests: Must be made in writing: NO REFUNDS/CANCELLATIONS ONE WEEK PRIOR
St. Petersburg College is dedicated to the concept of equal opportunity. The college will not discriminate on the basis of race, color, religion, sex,
age, national origin or marital status, or against any qualified individual with disabilities, in its employment practices or in the admission and
treatment of students. Recognizing that sexual harassment constitutes discrimination on the basis of sex and violates this rule, the college will not
tolerate such conduct. Should you experience such behavior, please contact the director of EA/EO at (727) 341-3261 or by mail at P.O. Box 13489,
St. Petersburg, FL 33733-3489.
CE 400A (12/06) AGENDA
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