March 10, 2023
Capital Medical Society Upcoming Events
Capital Medical Society Lunch & Learn
Resources for your Human Resources Tool-Kit
Wednesday, March 22, 2023
12:00 Noon
Capital Health Plan Governor’s Square
For physician office staff (clinical and non-clinical), practice administrators, office managers and business office managers.
Please register by March 14.
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CMS Catch My Stride Walk at Cascades Park
Saturday, March 25, 2023
10:00 AM
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Capital Medical Society Celebration Awards Dinner
Thursday, March 30, 2023
6:30 PM
The Dunlap Champions Club at FSU
Please RSVP by March 23.
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Capital Medical Society Membership/CME Meeting
Managing the Morbidly Obese Patient
Tuesday, April 18, 2023
6:00 PM
Maquire Center for Lifelong Learning at Westminster Oaks
Please register by April 11.
Honor a Doctor - If You Could Say One Thing To Your Doctor, What Would It Be?
NATIONAL DOCTORS' DAY - MARCH 30

National Doctors’ Day was first observed in Winder, Georgia, by the wife of a doctor to give others the opportunity to recognize and honor doctors who have impacted their lives. In 1958, the U.S. House of Representatives and Senate approved a resolution to commemorate National Doctors’ Day on March 30, which President George Bush then signed into law in 1990. This is your opportunity to honor your doctor. Let’s acknowledge how much we appreciate them, their excellent healthcare, and their fantastic teamwork.
 
Join us in making a gift today to the Capital Medical Society Foundation to honor your doctor, medical physician or dentist, and include a note of appreciation to them at https://capmed.org/donate/ or mail your gift check, payable to: Capital Medical Society Foundation, 1204 Miccosukee Road, Tallahassee, FL, 32308. Include the name of your honoree and a sentence about why you are honoring them. Each honoree will receive a letter notifying them of your thoughtful gift in their honor and the tribute you share.
 
To ensure your honoree receives their recognition letter before National Doctors’ Day, please make your gift by March 20, 2023.
Changes to the Pre-participation Athlete Screening Process
The Florida High School Athletic Association recently published new forms for the pre-participation athlete screening process. 


Source: Jacksonville Sports Medicine Program
Florida House Bill Takes Aim at Transgender Treatments and Doctors Involved
A bill filed in the Florida House Friday takes aim at transgender Floridians, how they receive funds, and the doctors who treat them.

HB 1421, filed by GOP Representative Randy Fine, bans any public expenditures from a state agency, political subdivision, or public postsecondary institution on "gender clinical interventions."


Source: ABC Action News
FSU and TMH announce a second, shared medical campus in Tallahassee
Florida State University and Tallahassee Memorial HealthCare have announced plans for new, joint research center in Tallahassee.

Last year, the Florida Legislature awarded FSU the money to build the academic health center in Tallahassee. In a Wednesday news conference at TMH, University President Richard McCollough said the project will be “transformational for the region.”

“Not only to sure up the health of our community health care but also to help increase the already healthcare that we have in Tallahassee by bringing researchers that are also physicians to the region,” he said.


Source: WFSU
Why does insulin cost so much? Big Pharma Isn’t the only player driving prices
Drugmakers long ceased to be the only villain of the insulin price scandal. While Lilly is cutting the list price” and others may follow, will other "parties" (i.e. pharmacy benefit managers) cause this price to increase before it hits the pharmacy counter?

Eli Lilly & Co.’s announcement that it is slashing prices for its major insulin products could make life easier for some diabetes patients while easing pressure on Big Pharma.
It also casts light on the profiteering methods of the drug industry’s price mediators — the pharmacy benefit managers, or PBMs — at a time when Congress has shifted its focus to them.

Source: Health News Florida
House panel moves forward on telehealth recertifications for medical marijuana
A Florida House panel unanimously signed off on a proposal that would allow doctors to renew patients’ medical marijuana approvals using telehealth.

Bill sponsor Spencer Roach, R-North Fort Myers, told the House Health Care Regulation Subcommittee that the bill (HB 387) would “treat this (medical marijuana) like any other medicine.”

More than 2,500 doctors have undergone training that allows them to order medical marijuana for patients.


Source: Health News Florida
US requires new info on breast density with all mammograms
The new requirement are aimed at standardizing the information given to millions of women following scans to detect breast cancer.
All U.S. women getting mammograms will soon receive information about their breast density, which can sometimes make cancer harder to spot.

The new requirements, finalized Thursday by the Food and Drug Administration, are aimed at standardizing the information given to millions of women following scans to detect breast cancer. Regulators first proposed the changes in 2019 and health care providers will have 18 months to comply with the policy.


Source: Health News Florida
Moderna Eyes Testing Mpox, Bird Flu Vaccines in Humans This Year
Moderna Inc. is eyeing possible human testing of shots to fight mpox and bird flu this year, as the Covid-19 vaccine maker expands into more public-health immunizations.


Source: Bloomberg
These 6 tips can help you skip the daylight saving time hangover
The lingering jet-lagged feeling you get when daylight saving time begins and ends can disrupt your health as well as your mood. Try these 6 tips from sleep experts to make next week easier.


Source: Health News Florida
What to know about prescription drugs promising weight loss
WeightWatchers' acquisition of a telehealth company is just the latest commercial push into the market for a new generation of medications that promise significant weight loss.
WeightWatchers, the 60-year-old diet firm, announced this week it would acquire a telehealth company whose providers prescribe anti-obesity drugs for growing numbers of eager online subscribers.

The $132 million deal with Sequence is the just the latest commercial push into the red-hot market for prescription drugs that promise significant weight loss. For months, the diabetes drug Ozempic has been touted on social media by celebrities even though it’s not approved for weight loss. The demand for it sparked shortages.

Source: Health News Florida
'Trained' nursing home CNAs could give meds under a bill OK'd by a House subcommittee
The measure would allow CNAs to become “qualified medication aides” and free up registered nurses to provide other needed care to residents.

A Florida House panel on Thursday approved a proposal that would allow trained certified nursing assistants to give medications to nursing home residents.

Supporters say the measure would help free up registered nurses to provide other needed care.

Source: Health News Florida
Less Than 1% of Earth Has Safe Levels of Air Pollution, Study Finds
Around the world, daily concentrations of fine particulate matter in the air exceed recommended limits most of the time, scientists say.


Source: Bloomberg
Fraudulent Nursing Diploma Scheme Leads to Federal Charges Against 25 Defendants
More than two dozen individuals have been charged in the Southern District of Florida for their alleged participation in a wire fraud scheme that created an illegal licensing and employment shortcut for aspiring nurses.


Source: U.S. Attorney's Office, Southern District of Florida
They Could Lose the House — to Medicaid
Fran Ruhl's family received a startling letter from the Iowa Department of Human Services four weeks after she died in January 2022.

"Dear FAMILY OF FRANCES RUHL," the letter begins. "We have been informed of the death of the above person, and we wish to express our sincere condolences."

The letter gets right to the point: Iowa's Medicaid program had spent $226,611.35 for Ruhl's health care, and the government was entitled to recoup that money from her estate, including nearly any assets she owned or had a share in. If a spouse or disabled child survived Ruhl, the collection could be delayed until after their death, but the money would still be owed. The notice said the family had 30 days to respond.


Source: NPR
Maker of unproven premature-birth drug Makena will pull it from the US market
The removal announcement from Covis Pharma comes roughly four years after Makena failed to show a benefit in helping mothers carry pregnancies to term.

The maker of an unproven drug intended to prevent premature births says it will voluntarily remove the product from the U.S., after regulators signaled plans to follow through on a long-delayed effort to force it from the market.

The drug, Makena, is a synthetic version of the hormone progesterone, which is needed to maintain a pregnancy. It’s the only drug with FDA approval to reduce the risk of premature birth.


Source: Health News Florida
Investors: Know the Basics of Basis Before You Sell
If you're thinking about selling stocks, mutual funds or other investments, you need to first familiarize yourself with the cost basis rules and their implications for your tax bill. Learning the rules may help you significantly reduce the amount of capital gains that will be subject to taxation as a result of the sale.


Source: Carroll and Company, CPAs
2023 Talent Innovation Summit - Untapped: The Hidden Talent Pool
Discover new strategies and solutions from national and local business leaders about creating dynamic talent pipelines in a competitive job market!

April 26, 2023
8:30 am - 1:30 pm
Turnbull Conference Center
555 W Pensacola St
Tallahassee, FL 32306

The struggle to find talent will continue, at least for the next few decades. It’s time, maybe past time, to implement new talent acquisition strategies and secure new talent pipelines. Join us to hear from subject matter experts who will deliver game changing information and practical applications for your organization.

For more information and to register, click here.

Source: CareerSource Capital Region
African-American Alzheimer's Caregivers Training and Support (ACTS 2) Project
Free CME on Environmentally Sustainable Practices - My Green Doctor
This month, the Capital Medical Society’s My Green Doctor program is the focus of a free 40-minute online CME program offered by the American Medical Association to any physician, not just AMA members. Watch the webinar yourself at any time and ask your office manager to watch as well to learn how easy it is to save money with environmentally sustainable practice management. There is one link to watch the webinar and another to claim CME credit.
 
My Green Doctor is a free money-saving & climate-saving membership benefit from the Society. Members use My Green Doctor’s “Meeting-by-Meeting Guide” to learn how to adopt environmental sustainability, save resources, and help create healthier communities. The program adds just five minutes to each regular office staff meeting or weekly office “huddle”, making small changes at each meeting that really add up over time.
 
Everyone in your practice can register as Partner Society members at www.MyGreenDoctor.org or at www.MyGreenDoctor.es (si, en Espanol). Use the discount code MGDCMS to save $60 instantly and give full free access to My Green Doctor forever. Ask your practice manager to register today and to put My Green Doctor on your next agenda. You can do this!

Source: My Green Doctor
Florida Reimbursement Assistance for Medical Education (FRAME) Program Launched February 1
On February 1, the state Department of Health launched the Florida Reimbursement Assistance for Medical Education (FRAME) Program.

The goal of the FRAME Program is to encourage qualified medical professionals to practice in underserved locations of the state by providing annual payments intended to offset the loans and educational expenses incurred by students for studies leading to medical or nursing degrees, medical or nursing licensure or advanced practice registered nurse licensure or physician assistant licensure.

Reimbursement Amounts
  • Up to $20,000 per year for physicians
  • Up to $15,000 per year for advanced practice registered nurses practicing under section 464.0123, Florida Statutes
  • Up to $10,000 per year for advanced practice registered nurses and physician assistants
  • Up to $4,000 per year for licensed practical nurses and registered nurses

All payments are contingent on continued proof of primary care practice in an area defined in section 395.602(2)(b), Florida Statutes, or an underserved area designated by the Department, provided the practitioner accepts Medicaid reimbursement if eligible for such reimbursement. For more information, go to:


Application Process:
The FRAME Program application window will be open February 1 through March 31, 2023.

To facilitate your application process, you will need to use the FRAMEworks Portal. Applicants will be able to log on and register to formally submit their application to the program.

You may alternatively choose to mail applications to the address below:
FRAME Program
4052 Bald Cypress Way
Bin A-05
Tallahassee, FL 32399

To get a jump start on the process, the required submission forms can be found below (forms are Adobe PDF and will open in new windows):

Applications will be evaluated, and selections will be made on or before June 1, 2023.
 
For questions or additional information, email [email protected].
Informational Correspondence with the Capital Medical Society
In this digital era, we strive to keep you updated with the latest in information. Please let us know when your emails and contact information change. We want you to be part of this Society and be active in your practice networking. Patients seeking provider referrals and providers seeking provider referrals keep your practice flourishing. If your membership information is old and you would like to contact us about relocating, new staff changes, or if you haven’t heard from us in a while, your information may not be current. Your personal contact information is kept confidential but is our way of reaching out to you about meetings, medical updates, license requirements, legalities in medicine and patient privacy and care, Journals, newsletters and more.
Pam Irwin, Executive Director, 850-559-8611, [email protected]
Are You One of our Members on the Move?
If you can answer "yes" to any of these questions, we want to know more!
·    Is your practice expanding? Are you adding staff members?
·    Do you have a new practice administrator/office manager?
·    Have you changed or added locations?
·    Have you changed your email/phone/fax?
·    Have you added a new specialty or passed your Board Certification(s)?
·    Have you retired within the last six months?
 
Send your updates to [email protected].
Subject line: Member Updates
Updated Physician Headshots
The CMS website is your link to our physician member database. The CMS has been actively working on each provider search. Please take the time to search the listing. If you find there is any inaccurate information or an outdated headshot, please reach out to CMS to update your information. Let us know as soon as possible to make sure your information is current.
CMS | (850) 877-9018 | [email protected]
Electronic Version of March 2023 Cap Scan
Click here to view the March 2023 Cap Scan.
Free Monthly Webinars: "The Business Side of Medicine"
Each webinar is on the third Tuesday of every month at 6:30 PM.

For more information and to register, click here.

Source: MIRZA, Healthcare Law Partners
Medicare Revalidations
Medicare Revalidations are back in full force after a brief pause during the height of the COVID-19 Pandemic. All healthcare providers and suppliers are required to revalidate their Medicare enrollment every 3-5 years per CMS’ request. Medicare has implemented new revalidation screening criteria that you will need to be aware of. Missing this important deadline will have significant financial consequences on your medical practice! This link is to a tool to a searchable database that allows you to look up the revalidation due date for Medicare providers who must revalidate their enrollment record information every three or five years.

Your Dose of Medical Humor
Save the Date for Upcoming CMS Meetings/Events
Discounted Event Tickets at the Donald L. Tucker Civic Center
Capital Medical Society members can receive a discount on upcoming events at the Donald L. Tucker Civic Center by using our promo code "CMST". The upcoming events are:
 
April 14, 2023

April 22-23, 2023
 
Members can receive the discount a few different ways:
1. Click the show links above and enter the promo code "CMST"
2. Call 850-645-0746 to purchase over the phone and mention the promo code "CMST"
Here's Another Connection for CMS Members: Healthcare Lawyer On Call
The CMS has had a long-standing relationship with Jeff Cohen and The Florida Healthcare Law Firm. Did you know that you can tap into a program called Healthcare Lawyer On Call through Jeff and his firm? That's right! On-Call is different than what you may be used to and doesn't mean that you'll find an attorney at 3 AM to answer a question, but what it does mean is that you can call and speak with someone at The Florida Healthcare Law Firm for 15 minutes at no charge! Please remember that any purely verbal discussion on legal matters is simply the lawyer’s best (and unconfirmed) understanding. Another benefit of being a CMS member!
AMA Resources
COVID-19 Shadow Pandemic: Mental Health Impacts on Patients & Care Teams
“Shadow Pandemic: Mental Health Impacts of COVID-19 on Patients and the Care Team,” the latest on-demand webinar in the AMA’s Overcoming Obstacles series, explores how experts have engaged pediatric and adult patients before and during the pandemic, and how patient health needs have changed over time. Hear the challenges encountered and solutions used to creatively address patient needs, and what is next for patient care.


AMA to Host Interactive Session on Telehealth for Dermatology

The AMA is hosting an interactive session that will highlight the innovative ways that telehealth is currently being used in dermatology. Participants will have the opportunity to ask questions and engage with speakers, as well as gain insights on ways to leverage a variety of telehealth modalities, including provider-to-provider e-consults, live audio/visual, and store-and-forward.


AMA STEPS Forward® Podcast: Creating A Culture That Supports Well-Being

In the latest AMA STEPS Forward® podcast episode, Dr. Nigel Girgrah, Chief Wellness Officer at Ochsner Health System, discusses strategies for creating a culture of well-being at your health care organization – including addressing mental health stigma, building a strong EAP program, employing an opt out vs opt in approach, and encouraging leadership to be vulnerable about their own burnout struggles.


Source: American Medical Association (AMA)
WEBINAR - Navigating the Current Healthcare Landscape: COVID-19, Staffing Crisis, and Administrative Burden
Physician practices across the country continue to operate in an atmosphere of uncertainty, now compounded by a staffing crisis due to a surge in COVID-19 cases. In the latest AMA STEPS ForwardTM webinar, “Navigating the Current Healthcare Landscape: COVID-19, Staffing Crisis, and Administrative Burden,” attendees will hear about the current health care workforce landscape, how to plan for workplace shortages, and best practices in workplace safety and efficiencies for staff. The webinar will also feature practical, actionable resources to transform and improve your practice. Accompanying the webinar, the AMA has released an updated version of “A Physician Guide to Keeping Your Practice Open During COVID-19” to address concerns about workforce protection and retention during the pandemic. 

Source: American Medical Association (AMA)
CME Resources
Wolfson Pediatric CME Webinars - 5.5 CME Credit Opportunity
Wolfson Children’s Hospital is proud to provide Continuing Medical Education opportunities to our partners and referring providers by offering monthly virtual CME sessions at no cost. If you have missed any of our previously offered live webinars and still wish to obtain CME credit for them, we have provided 4 recorded webinars for a total of 5.5 CME credits possible. Please follow the instructions below in order to take advantage of this opportunity!
 
1.      Open the flyer and choose which education session you would like to watch.
2.      Click the link in the attachment for the desired education session.
3.      Watch the webinar.
4.      Follow the instructions included in the video description to complete the required survey and input the associated activity code.
*Please note, if you are licensed outside of the state of Florida, you must contact the CME office at [email protected] to request an official transcript of your participation.

Easy to use web portal makes it easy to find courses and track credits. Accredited activities for over 30 medical specialties; Over 100 active courses at any given time; Activity accreditations include ACCME, ANCC, AANP, ACPE, and more; Content is always current, and always free.

Free 1-hour online CME opportunity!
University of Florida's Department of Epidemiology
Raising awareness for Alzheimer's disease and increasing screening for cognitive impairment. This CME has a focus on primary care physicians but is applicable to all physicians who may encounter patients with cognitive impairments.

On-Demand CME by The Doctors Company
Diagnostic error continues to be a top patient safety concern, a global burden, and cause patient harm from treatment delay, testing, or misdiagnosis. “Prevention of Diagnostic Error in Primary Care” is an on-demand CME activity that features patient safety expert Jeffrey A. Gold, MD, professor of medicine, vice chair for quality and safety, for the department of medicine at the Oregon Health and Science University. This program highlights major contributing factors of diagnostic error along with the diagnostic process of care framework with additional focus on strategies to mitigate risk of patient harm in the primary care setting.

On-Demand CME by The Doctors Company
1.25 AMA PRA Category 1 Credits™
Explore the challenges and risks associated with telehealth. Concerns regarding privacy, security, licensure, and technology that might instigate a malpractice claim are discussed.

On-Demand CME by The Doctors Company
2.5 AMA PRA Category 1 Credits or 2.5 ADA CE Credits
Opioids play an important role in pain management—both in acute and chronic care settings—but overuse, misuse, and diversion have contributed to an opioid-related epidemic leading to addiction and death. Our on-demand program provides a useful and informative examination of the epidemic’s prevalence and effects.
National Human Trafficking Hotline
If you suspect human trafficking, please call:
  
National Human Trafficking Hotline
1 (888) 373-7888
Suicide Prevention Hotline
Reach the National Suicide Prevention Lifeline and Veterans Crisis Line by Phone and Text

By Phone:
Call 1-800-273-8255 to reach the National Suicide Prevention Lifeline today. 988 is not a nationwide calling code right now.
Veterans should Press 1 to be connected with the Veterans Crisis Line.

By Text:
The National Suicide Prevention Lifeline is also available today through online chats. 988 is not a nationwide texting code right now.
Service members, Veterans, and their families can reach the Veterans Crisis Line by texting 838255, and through online chats at veteranscrisisline.net.


Source: Federal Communications Commission
Florida E-Prescribing
Electronic Prescribing Requirements (Florida Board of Medicine)
House Bill 831 (2019), Electronic Prescribing, was signed into law by Governor DeSantis. The effective date is January 1, 2020. The bill provides important new requirements for prescribers to generate and transmit all prescriptions electronically upon licensure renewal or by July 1, 2021, whichever is earlier.

Florida ePrescribing Clearinghouse (Agency for Healthcare Administration)
The purpose of the Florida ePrescribing Clearinghouse is to provide information that contributes to the promotion and implementation of electronic prescribing by health care practitioners, health care facilities, and pharmacies in order to prevent prescription drug abuse, improve patient safety, and reduce unnecessary prescriptions. This Clearinghouse contains information on the advantages, processes, products, rules, and laws of ePrescribing as well as Florida ePrescribing reports.
PAP Machine Donations Needed!
A PAP (Positive Airway Pressure) machine is an electronic respiratory ventilation device used to treat obstructive sleep apnea. Capital Medical Society Foundation, Inc.'s We Care Network program assists low-income, uninsured adults, whose income is at or below 150% of the Federal Poverty Level, with obtaining these potentially life-saving medical devices, when prescribed by a pulmonologist. Thanks to our partners at Desloge Home Oxygen and Medical Equipment, Inc., we are able to provide refurbished CPAP, AutoPAP, and BPAP machines for eligible We Care Network patients in Leon, Gadsden, Jefferson, and Wakulla Counties. We Care Network also accepts unused, unopened supplies for PAP machines, such as masks, nasal cannulas, and tubing. We Care Network coordinates over $5,000,000 in donated specialty medical and dental care annually.
 
Machine donations can be dropped off at Capital Medical Society Foundation's office at 1204 Miccosukee Road, Tallahassee, FL 32308. Donations to Capital Medical Society Foundation are tax-deductible within IRS guidelines Federal Tax I.D. #: 59-2104510. For additional information, please call 850-942-5215 or email [email protected].
CMS Foundation Physician Wellness Program is Here for Physicians and TMH Residents
Overloaded? Stressed? You're Not Alone.

Does your workday start before dawn and end well after dusk? Do you go to bed tired and wake up the same way? Maybe it’s time you talk to someone who can help you make positive changes for a healthier, happier life and lifestyle. The CMS has six professional counselors who are available to you - free of charge - free of worry. This program remains one of the few in the state that serves all local practicing physicians and TMH Residents, without cost, without question. Six sessions annually are completely confidential and autonomous. 
 
WELLNESS COACHES: 
Paul Deitchman, Ph.D.
313 Williams St., #5
Tallahassee, FL 32303
850-878-3571
UNIVERSITY: FLORIDA STATE UNIVERSITY
Tracey Morse, Ph.D.
1114 E. Tennessee St.
Tallahassee, FL 32308
850-556-7944 
UNIVERSITY: SOUTHERN ILLINOIS UNIVERSITY – CARBONDALE
Stephen Wright, Ph.D.
313 Williams St., #7
Tallahassee, FL 32303
850-222-3045
UNIVERSITY: FLORIDA STATE UNIVERSITY
SPECIALTY AREA WELLNESS COACHES:
Family, Marriage, and Trauma
Kenneth Fowler, Ph.D., LMHC & Certified Traumatologist
1028 E. Park Ave.
Tallahassee, FL 32301
850-212-6873
UNIVERSITY: FLORIDA STATE UNIVERSITY
CERTIFICATE: FSU TRAUMATOLOGY INSTITUTE
Dr. Fowler is a licensed mental health counselor (LMHC) and an Approved Supervisor for mental health counselors, marriage and family therapists and social workers. As a result of his expertise in psychological trauma, Dr. Fowler was called to respond in New York City following the 9/11 attacks. As a leader in his field, he was able to help with this national tragedy. His work with natural disasters led to him being called to assist with the Hurricane Katrina disaster by debriefing first responders who were exposed to the aftermath of the trauma. Currently, he consults with the Southcom Command of the United States Armed Forces to help returning soldiers and their families deal with the effects of war as well as post-traumatic stress disorder. 
Family and Marriage
Jane Marks, LFMT, LMHC
3325-C Thomasville Road
Tallahassee, FL 32308
850-385-8222
 UNIVERSITY: FLORIDA STATE UNIVERSITY

For five decades, Jane Marks has helped countless families navigate the challenges in life. As a Licensed Family & Marriage Therapist, she will bring a thoughtful approach to wellness for those seeking individual, family or marriage coaching through the CMS Foundation’s Physician Wellness Program.
Grief, Loss, and Trauma
Brenda Rabalais, Ph.D.
216 Lake Ella Drive
Tallahassee, FL  32303
850-841-7733 
UNIVERSITY: FLORIDA STATE UNIVERSITY

Brenda Rabalais, Ph.D., specializes in providing counseling services to those who are struggling with a loss or a trauma. Examples include; divorce, abandonment (foster care, adoption, service families), abuse, suicide, homicide, crime, loss of functionality, loss of home or job, long-term illnesses, other life transitions, as well as death. Brenda founded Lee's Place, a grief, loss and trauma counseling center, in 2000 and has been a practicing therapist as well as the Executive Director for those 21 years.
Special thanks to the MagMutual Foundation and the TMH Medical Staff for helping the CMS fund this program.
Check Out the Latest CMS Member Benefits