Radiological Preparedness Course

Please complete all of the following fields

Full Name:

Organization:

Occupation.(discipline):

Job Title:

Organization.Address:

Organization.Phone.Number:

Registrant Phone#:

Registrant Email Address:

Mailing Address:

Type of Desired CEU Credits:

............................................................................................................................................................

Target Audience

This two-day course is intended for pre-hospital care providers and first receivers as well as public health responders who may be called on to respond to a mass casualty incident and / or treat victims of an radiological exposure (e.g., EMA, EMS, firefighter, law enforcement, hospital-based physicians, and nurses, social services and rural clinicians).

CME: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Centers for Disease Control and Georgia Poison Center. The Centers for Disease Control and Prevention is accredited by the Accreditation Council for Continuing Medical Education (ACCME®) to provide continuing medical education for physicians and nurses.

CEU: Paramedic CEU is provided from the State Office of EMS.

Please Choose from the following locations

Address		Location	Date & Time
Athens Regional Medical Center, 1199 Prince Avenue, Athens, Ga. 30303		Athens, Ga	TBA
Memorial Health Medical Center 4700 Waters Avenue Savannah, Ga. 31404		Savanah, GA	May 23-24, 2011 8:00am- 4:00pm

	Course Director: Course Director: Ziad Kazzi, MD, Department of Emergency Medicine, Emory University & Georgia Poison Center
	Course Coordinator: Tanneshia Sherrer
For more information please call or email Tanneshia Sherrer at (404) 230-8977 or TSHERRER@georgiapoisoncenter.org