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ADC Introduction to Newborn Care Registration Form
To register for an ADC class please fill out the form below and submit.

Registration Information

    First Name:  required
     Last Name:  required
Street Address: 
   Apt. Number: 
          City: 
         State: 
      Zip Code: 
     Telephone:  required
           FAX: 
        E-mail: 
  Including yourself, how many will attend?
                

South Austin Classes:
Select a class (or classes):

Introduction to Newborn Care, Dr. Sara Woods at South Austin, Thursday,
November 6th, 2008 - 4315 James Casey, 3rd Floor - Now registering


How did you hear about this class?


Form Submission

You've done it! You are now registered for an ADC class or seminar.  
Due to the number of incoming registrations we are unable to confirm registrations
by phone.  You will be notified by phone or email in the event of a cancellation.


repstein@adclinic.com
Copyright © 1995 The Austin Diagnostic Clinic. All rights reserved.
Revised: August 25, 2008.
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The Austin Diagnostic Clinic, A Multi-Specialty Medical Clinic
12221 MoPac Expressway North | Austin, TX 78758 | 512.901.1111
Serving the communities of Austin, Round Rock, Pflugerville, and Central Texas since 1952
Allergy & Immunology | Audiology | Cardiology | Dermatology | Diabetes Management Center | EasyCare Clinic
Endocrinology | Family Practice | Gastroenterology | Health Risk Management | Hematology/Oncology
Imaging Center | Internal Medicine | Menopause Center | Nephrology | Neurology | Nuclear Medicine
Obstetrics/Gynecology | Ophthalmology | Optical Shop | Orthopedic Surgery | Otolaryngology
Outpatient Surgery Center | Pediatrics | Physical Medicine | Podiatry | Pulmonary Disease | Radiology 
Rehabilitation Services | Rheumatology | Surgery | Travel Clinic | Urgent Care Clinic | Urology | Site Map

This website and its contents may not be reproduced in whole or in part without written permission.  The Austin Diagnostic
Clinic and its associated logo are registered State of Texas trademarks and may not be used without written permission.