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2025 Fall Convention Attestation Form
Today's Date
(Required)
MM slash DD slash YYYY
First Name
(Required)
Last Name
(Required)
Facility Name
(Required)
Email
(Required)
Number of CEU Credit Hours
(Required)
Format:
Total of 12 CEUs: Indicate # CEUs on Wednesday and # CEUs on Thursday.
CEU's Requested
(Required)
NAB
BELTCA
NSBN
BELTCA Administrator ID Number (if applies)
(Required)
NAB ID Number (if applies)
(Required)
NSBN License Number (if applies)
(Required)
Attestation Statement
(Required)
Yes
By selecting 'Yes' above, you hereby attest that all information entered above is accurate as related to the number of hours attended during this training event.
Event Survey
Please evaluate the Agenda and Speakers below:
Evaluate the Overall Agenda and Timing
(Required)
Excellent
Very Good
Good
Fair
Poor
Evaluate the Event Location: Harveys Lake Tahoe
(Required)
Excellent
Very Good
Good
Fair
Poor
Additional Feedback - Event Location
Evaluate the Event Dates: September 10 and 11, 2025
(Required)
Excellent
Very Good
Good
Fair
Poor
Additional Feedback - Event Dates
Evaluate the Room Accomodations (if applies)
Excellent
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Good
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Additional Feedback - Room Accomodations
Please select your Top 3 Speakers
Choose three (3)
(Required)
Mike Willden
Craig Zablocki
Donna Thorson and Jennifer Wieckowski
Mike Dean
Hawley Hunt
David Posner
Rachel Reeves
Dr. Monica Tsai
M. Jeanne Hesterlee
Marie Coe
Kirstin Hudson and Mark Freitas
Listed by the order they appeared
Please select your Top 3 Speaking Topics
Choose three (3)
(Required)
83rd (2025) Legislative Session Report
Synergy in Action: Building Collaboration and Communication
Comagine Health Update: Quality Services Available to SNF
Responsible Food Procurement for Changing Times
Infection Control in Focus from Regulatory Foundations
Preventing Common Citations in Today’s Regulatory Climate
A Referee’s Guide to Leadership in HealthcareÂ
Communicating in Crisis
Harnessing the Power of Augmented Intelligence
Current Federal Guidance on Most Cited SNF Regulations
Navigating Power of Attorney in Nevada Long-Term Care
Navigating Nevada’s Workplace Violence Prevention Statues
Listed by the order they were presented
Please select Topics you would like to see in the next convention
Choose as many topics
(Required)
Medication Management and Administration
Disease Management
Mental and Behavioral Health
Compliance Programs
Employee Satisfaction, Engagement, and Retention
Federal Codes and Legislation
Facility Management and Environmental Services
Quality Assurance and Performance Improvement
Regulatory Survey and Inspection Process
Other
list below:
Additional Feedback - Other topics
Please enter any additional comments about the agenda, speakers, or topic relevancy
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