General Conference Information | Program and Presenters | Brochure
Weather Note: The conference will be held on December 4, 2007.
Understanding and Living Well with Viral Hepatitis in Maine
An Educational Conference
December 4, 2007
8 am - 4 pm
Augusta Civic Center, Augusta, Maine
Empower - Educate - Understand - Build Community - Collaborate - Network


Conference Registration

  • Use this form to register for Understanding and Living Well with Viral Hepatitis in Maine: An Educational Conference. Complete the fields below and click on Submit Form at the bottom of the page. Fields marked with an asterisk are required.

  • The registration fee is $10 and preregistration is required. Registration includes: Program, Lunch/Breaks, Continuing Education Credit. Scholarships are available on a first-come, first-served basis. For more information contact AdCare at 207-626-3615 or

  • If you prefer, you can print a registration form. This form can be mailed to AdCare Educational Institute of Maine, Inc., 75 Stone Street, Augusta, ME 04330 or faxed to 207-621-2550.

  • Registration Deadlines:
          November 20, 2007 if special accommodations are requested;
          November 27, 2007 if no special accommodations are requested

  • Confirmation of Registration and site directions will be sent to you after the registration deadline.
  • We are looking forward to seeing you at the conference.

  • If you have any difficulties with this online registration form, please contact

    • *Name:
    *Email Address:
    Agency:
    *Address:
    *City:
    *State:
    *Zip Code:
    Telephone:
    Fax:
    Workshop Selection: Please choose one workshop for each time slot

    10:30 am
    1A
    2A
    3A     		2:30 pm
    1B
    2B
    3B

    Please indicate the type of Continuing Education Credits you require.
    General Substance Abuse Social Work CHES

    Payment Method
    Check Agency PO Pay at Registration Request Scholarship

    Special Accommodations
    The conference site is ADA compliant.
    Sign Language Interpreters, Assistive Listening Devices or other accommodations are available on request.
    Please request accommodations prior to November 20, 2007
    I request the following accommodation:
    Sign Language Interpreter
    Assistive Listening Device
    (Please specify type:)
    Other Accommodations
    (Please specify:)

    Additional Information:


    Sponsored By:

    Maine Department of Health and Human Services
    Center for Disease Control and Prevention, HIV, STD and Viral Hepatitis Program
    For more information or to receive a brochure by mail or fax, please email:


    This web site is maintained by:
    AdCare Educational Institute of Maine, Inc.
    75 Stone Street, Augusta, ME 04330
    207-621-2549 (phone)
    207-623-0830 (TTY)
    207-621-2550 (Fax)