Second Annual
2003 Summer Institute on Evidence-Based Practice 
Best Practice: Improving Quality
Registration Form
Print this form and send it in to register.

2003 Summer Institute on Evidence-Based Practice
BEST PRACTICE: IMPROVING QUALITY
July 10–12, 2003

Register Early-Sessions will be closed when full
Please type or print as you wish to be listed on the participant roster. Separate registration form is required for each person
Name:__________________________________Credentials________________________

Last 4 digits of SS#_________________________Email:___________________________

Address (confidential):______________________________________________________

City:_____________________________State:_________________Zip:_______________

Phone (Work)_________________(Home)_________________(FAX)________________

Affiliation:__________________________________Position Title:____________________

Concurrent Sessions
Select one session per time period.
Thursday, July 10, 2003
1:00-2:15 pm
 2:45-4:00 pm
Ventilator-Associated Pneumonia in ICU
Hypertension Management
End of Life Care
Pain Management
Cancer Care
Saturday, July 12, 2003
8:30 - 9:30 am

Keeping Evidence Organized: EndNote® Solutions
Teaching EBP & Making it Fun
Establishing EBP Performance Competencies
Clinical Experts & Professional Association: Partners in Improving Quality Through EBP
REGISTRATION FEES

Early Bird $415 (Postmarked on or before June 2, 2003)
Regular Price: $445 (on or before June 30, 2002)
After June 30/on Site: $475
METHOD OF PAYMENT (Check one)
Check
Money order enclosed
(Make payable to: UTHSCSA - School of Nursing)
Credit Card
VISA
MasterCard
Discover
Account#:____________________________________________

Expiration Date:_______________________________________

Authorizing Signature:__________________________________

RETURN THIS FORM TO:

The University of Texas
Health Science Center at San Antonio
Nursing Continuing Education Department
7703 Floyd Curl Drive – MSC 7946
San Antonio, TX 78229-3900

OR

Fax reservations to: (210) 567-5909
Phone reservations cannot be accepted.

FOR MORE INFORMATION:
Contact Margie Ytuarte at (210) 567-5850 or Email: ytuarte@uthscsa.edu