Skip to content
FCPA
  • Home
  • Live CE Zoominar May 19th – 21st
  • Seminar Schedule
  • Upcoming CE Seminars
  • Speakers
  • Legislative Corner
  • About FCPA
    • Mission Statement
    • Meet the FCPA
  • FL Law
    • FL Biennium Requirements
  • Membership
  • Donations / Lobbyist
  • Sponsorship
    • Partners
  • Classified Ads
  • Contact us
Menu Close
  • Home
  • Live CE Zoominar May 19th – 21st
  • Seminar Schedule
  • Upcoming CE Seminars
  • Speakers
  • Legislative Corner
  • About FCPA
    • Mission Statement
    • Meet the FCPA
  • FL Law
    • FL Biennium Requirements
  • Membership
  • Donations / Lobbyist
  • Sponsorship
    • Partners
  • Classified Ads
  • Contact us

Florida Law

  • Board of Chiropractic Medicine: Continuing Education Process in Florida
  • Florida Administrative Rule For CE
  • ​​The Florida Statutes CHAPTER 460 CHIROPRACTIC MEDICINE
  • New Licensees in Florida

Email: myfcpa@gmail.com

FCPA Mailing address: 2225 NW 2nd Ave, Cape Coral, FL 33993

Phone: 407 409 7291

Designed, developed and maintained by Digital marketing agency in Boca Raton

 © 2020 Fl. Chiropractic Physician Association

Registration form in-person CE Seminar

In order to report your hours accurately and to receive confirmation from the University, please be sure that your address is current and can be used as the standard USPS format. Please refrain from using all caps when filling out the form.

    First Name: *

    Last Name:*

    Street Address: *

    City: *

    Zip Code: *

    State: *

    Office Phone: *

    Cell Phone Number: *

    Fax:

    FL License Number: *

    Are you a 1st year FL licensee?
    YesNo

    Please enter the license issue date:

    Do you have an Out of State License?
    YesNo

    Out of State License Number (please include the State):

    Date of Birth: *

    Email: *

    I am a member of :*
    FCPACPAABoth (FCPA/CPAA)None (FCPA/CPAA)

    Do you believe that chiropractors should have Injectable Nutrition Rights *
    YesNoUndecided

    I am:*
    DCCCPAStudentGuest

    Registering for *
    February 24th - 26th 24CEUs CE SeminarMembershipCE Seminar & Membership

    I have attended an FCPA Seminar in the past *
    YesNo

    How did you hear about us?:*
    By emailReferred by a friendMagazine adPostcardPhone call from FCPA

    Are you interested in getting involved in advancing our laws? *
    YesNo

    I understand that all information regarding the seminar will be sent by email and it is my responsibility to look for and read it.*

    Comments:

      First Name:*

      Last Name:*

      Name of Chiropractic Office:*

      Practice Address:*

      City:*

      State:*

      Zip:*

      Office Phone Number:*

      Website:*

      Email:*

      Comments: