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Course 111 WORKERS' COMPENSATION APPORTIONING DISABILITY TO CAUSATION 
                  By Stuart Green, M.D.                                                             3 hours credit         $100

 Course 112 MEDICAL OPINION AS EVIDENCE: “THE JUDGE’S PERSPECTIVE”   
                    By Judge William Ordas                                                    1.5 hours credit         $50

 Course 113 NEW APPORTIONMENT LAW Part 1   by Judge Mark Kahn
                                                                                                                6 hours credit          $180

 Course 114 NEW APPORTIONMENT LAW Part 2   by Judge Mark Kahn
                                                                                                                6 hours credit          $180

 Course 115 SUBSTANTIAL MEDICAL EVIDENCE IN AN AMA GUIDES CASE
                      By Robert Rassp, ESQ                                                       3 hours credit          $100

                                                                                                             TOTAL             ___________

 Circle specialty you are recredentialing            QME                 Attorney           Claims Professional

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phone #                                                Fax#

  E-mail address  _________________________  @  ______________________

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 Make check payable too:  Goldenstate Enterprises

 Master/visa       __ __ __ __   __ __ __ __ __ __   __ __ __ __ __  exp ___/___

 _____________________________________                          _______________________________

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FAX to:    206-222-2691  Secure fax

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Mail to:

Goldenstate Enterprises
17586 Via Loma Dr
Poway  CA  92064

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