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Attendee Registration - Capital Health Advanced Practice Providers
In This Section
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2026 Capital Health’s Annual Continuing Education Conference: Learn. Connect. Transform Care.
May 1-2, 2026
Borgata Hotel & Casino
1 Borgata Way
Atlantic City, NJ 08401
RATES:
Early
Through 12/1/2025
Standard
12/2/2025-3/31/2026
Late
4/1/2026-4/24/2026
On-Site
4/25/2026-5/2/2026
Advanced Practice Providers
$500
Saturday Only:
$350
$600
Saturday Only:
$400
$650
Saturday Only:
$450
$750
Saturday Only:
$500
Use this form if you are employed as an Advanced Practice Provider (NP, PA, CNM, other) in the Capital Health network.
Please complete the form below to register for Capital Health’s Annual Continuing Education Conference.
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First Name
Last Name
Address
Address
Address 2
City/Town
State/Province
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federate States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
Phone Number
Email Address
Name of Organization/Affiliation
- Select -
Capital Health System
Ticket Type
- Select -
Full 2 Days - $500
Saturday Only - $350
Medical Specialty
Medical Specialty
- Select -
Anesthesiology
Cardiology
Cardiac Surgery
Dermatology
Emergency Medicine
Family Medicine
General Medicine
General Surgery
Internal Medicine
Neurology
Obstetrics/Gynecology
Oncology
Orthopedic Surgery
Pediatrics
Plastic Surgery
Primary Care
Psychiatry
Radiology
Vascular Surgery
Other…
Enter other…
Provider License Type
Provider License Type
- Select -
NP
PA
CNM
Other…
Enter other…
Will you attend the FRIDAY evening reception?
Yes, I will attend
No, I am unable to attend
Will you be bringing a guest?
Yes, I will bring a guest
No, I will not bring a guest
Please provide your guest’s name
Will you attend the SATURDAY evening GALA?
Yes, I will attend
No, I am unable to attend
Will you be bringing a guest?
Yes, I will bring a guest
No, I will not bring a guest
Please provide your guest’s name
Dietary Restrictions or Food Allergies
Yes
No
Please specify your restrictions here
Please specify your restrictions here
- Select -
Vegetarian
Vegan
Gluten Free
Dairy Free
Nut Free
Other…
Enter other…
By checking this box, I am verifying that I have continuing medical education dollars to support my registration
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