Swallowing, Voice & Speech Rehab Clinic
IAOM Course Registration Form
Course Title: Tongue Thrust and Beyond: A Myofunctional Therapy Course
Instructor: Mohamed A. Mohamed, PhD, CCC-SLP, C-SLP, Reg. CASLPO, COM®️
CEUS: IAOM, AGD, ASHA
Choose Course Location/Date:
SVS Rehab
2000 Credit Valley Road, Suite #410
Mississauga, ON L5M 4N4
Course Title: Tongue Thrust and Beyond: A Myofunctional Therapy Course
Instructor: Mohamed A. Mohamed, PhD, CCC-SLP, C-SLP, Reg. CASLPO,COM
CEUS: IAOM, AGD, ASHA
Course Fee: $2,300 USD or $2,500 CAD
Payment via cheque or e-transfer only.
To complete your registration, please forward your payment of $2,300 USD or $2,500 CDN. Choose a payment option below.
OPTION 1:
Payment via e-transfer to rehabsvs@yahoo.com.
OPTION 2:
Payment by cheque made payable to SVS Rehab and mailed to:
Mohamed A. Mohamed, PhD
SVS Rehab
2000 Credit Valley Road, Unit #410
Mississauga, ON
L5M 4N4
* No post-dated cheques, please.*
Your registration is considered complete only when your bank transfer/cheque has been received and this form has been submitted. Once both of these steps have been completed successfully, you will receive a confirmation e-mail from rehabsvs@yahoo.com.
Cancellation Policy: Please note that in the event of a cancellation, 10% of payment will be retained. Any cancellation notice given 2 weeks or less from the course start date will not be refunded.