19th Annual Summer Conference on Emergencies & Challenges in Primary Care
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19th Annual Summer Conference on Emergencies & Challenges in Primary Care Document Transcript

  • 1. Exciting News... our hotel room rates include daily buffet breakfast & airport shuttle! Please see our lodging information inside the brochure for more details. 19th Annual Summer Conference on Emergencies & Challenges in Primary Care Including topics on: Pediatric Orthopedic, Asthma & Dental Emergencies; Acute & Chronic Pain Management; Abdominal Pain; Syncope & Other Heart Dilemmas, and much more... Snow King Resort & Grand View Lodge Jackson Hole, Wyoming June 25-28, 2014 SPONSORED BY “Symposia Medicus does a wonderful job of timing sessions to allow conference attendees free time to enjoy the locations and activities.” – John McBride, MD “I’m always so thrilled with Symposia Medicus conferences. The speakers are knowledgeable and are able to communicate their topics very well.” – Brenda Willkom, NP A Non-Profit Corporation for Continuing Medical & Nursing Education Register On-Line... Page 1 3 “I have attended several Symposia Medicus conferences over the years, and they continually have excellent presenters and encourage audience participation. I highly recommend attending their conferences!” – Monique DeFour Jones, MD for this conference or view other educational conferences at w w w. s y m p o s i a m e d i c u s . o r g Conference Brochure #1303, 19th Annual Summer Conference on Emergencies & Challenges in Primary Care Symposia Medicus A Non-Profit Corporation for Continuing Medical & Nursing Education
  • 2. CONFERENCE DESCRIPTION CONTINUING EDUCATION CREDIT This year’s 19 th Annual Summer Conference on Emergencies & Challenges in Primary Care has been designed to provide physicians, nurse practitioners, physician assistants, nurses, and other health care professionals involved in primary care with evidence-based information on commonly encountered office emergencies and other challenges. The primary goal of this conference is to increase knowledge and enhance the competence of attendees. Emphasis will be placed on practical application of the evidencebased topics presented. Physicians Symposia Medicus designates this live activity for a maximum of 18 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Topics for this year’s conference have been selected based on the educational needs determined from the identified professional practice gaps. The gaps were derived from a variety of sources including evaluations and outcomes data from past participants; clinical expert input; Symposia Medicus’ online survey; and other medical and nursing data. Conference format will include didactic lectures, smaller group interactive breakout sessions, case studies, and question and answer sessions. An outstanding faculty has been assembled for this conference. Each member was selected based on their individual area of expertise and ability to communicate current, evidence-based and practical information to participants. You are sure to enjoy our 19 th Annual Summer Conference on Emergencies & Challenges in Primary Care while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Jackson Hole. CONFERENCE OBJECTIVES As a result of participating in this conference, you should have increased knowledge and enhanced competence to… • Recognize the adolescent with depression who may be at risk for suicide • Identify risks for coronary artery disease • Diagnose the cause of non-specific abdominal pain • Evaluate and manage, or know when to refer, lower back pain • Identify pediatric growth plate fractures and their emergent management ACCREDITATION This educational activity was planned and produced in accordance with the ACCME and ANCC Essentials and Standards relating to continuing medical and nursing education. Symposia Medicus is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Symposia Medicus is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Each participant should only claim credit commensurate with the extent of their participation in the activity. Certificates of credit will be given to participants on-site at the conclusion of the conference. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for a maximum of 18 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics. Application has been made with the American College of Emergency Physicians for ACEP Category 1 credit. Physician Assistants AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 18 hours of Category 1 credit for completing this program. Nurse Practitioners/Nurses The ANCC contact hours awarded for completion of this conference are 18. Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 21.6 contact hours. Pharmacology Credit for Prescriptive Authority A maximum of 2.5 hours in pharmacology credit for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology credit for prescriptive authority are denoted with an Rx in the schedule. SMALLER GROUP BREAKOUT SESSIONS Smaller group sessions will be held Friday afternoon. These breakout sessions are organized to provide an opportunity for greater participant/faculty interaction, and will give you an opportunity to participate in discussions on subjects relating to your particular area of interest. Please indicate your breakout session topic choice on the conference registration form in this brochure. Space is limited so please reserve early. EDUCATIONAL RESOURCES Each registrant will receive an extensive conference syllabus that includes materials on each topic presented. The full color digital syllabus will be available for download approximately two weeks prior to the conference (you’ll receive an email with instructions). If you wish to receive a paper syllabus (black and white type & photos), please check the box on the registration form in this brochure. If you bring your tablet/laptop to the conference, be aware that there are no electrical outlets at the conference tables. Make sure your tablet/laptop is fully charged each day. If you are unable to attend this conference, extra copies of this syllabus (either paper or digital copy) will be available one week after the conference. The cost is $60 for a paper syllabus and $25 for the digital copy. To place your order, please email publications@symposiamedicus.org. GROUP TOURS / GROUND TRANSPORTATION Tours are planned for participants and guests throughout the conference breaks. Additional information regarding activities, hotel, location, and ground transportation will be sent to registrants. Page 2 3 Conference Brochure #1303, 19th Annual Summer Conference on Emergencies & Challenges in Primary Care Symposia Medicus A Non-Profit Corporation for Continuing Medical & Nursing Education
  • 3. CONFERENCE FACULTY CONFERENCE SCHEDULE Cole Condra, MD, MSc, FAAP, FACEP Wednesday, June 25 Friday, June 27 Department of Pediatric Emergency Medicine Mercy Children’s Hospital Clinical Assistant Professor of Pediatrics University of Missouri-Columbia St. Louis, Missouri 7:00am Registration & Check-in 3:00pm Smaller Group Breakouts – Session One Anthony H. Dekker, DO 8:00 Welcome & Introduction Peng Fan, MD 8:15 Evidence Based Management of Pediatric Acute Asthma Exacerbations (Rx = 15 minutes) Cole Condra, MD, MSc 9:00 Approach to Chest Pain: How Not to Miss a Heart Attack Karen Stout, MD 9:45 Questions & Answers Group Discussion Faculty Panel & Audience 10:15 Break Conference Co-Chairman Clinical Professor of Medicine Division of Rheumatology David Geffen School of Medicine at UCLA Los Angeles, California 10:30 Evaluation & Treatment of Acute & Chronic Pain (Rx = 25 minutes) Anthony Dekker, DO 11:15 Masquerade Party: Unmasking Systemic Causes of Abdominal Pain (Rx = 20 minutes) Robert Vissers, MD Karen Stout, MD, FACC Noon Low Back Pain: When Should We Worry? Director, Department of Addiction Medicine Directorate of Behavioral Health Fort Belvoir Community Hospital Fort Belvoir, Virginia Peng T. Fan, MD, FACEP Director, Adult Congenital Heart Disease Program Division of Cardiology University of Washington Medical Center Children’s Hospital and Regional Medical Center Seattle, Washington Robert Vissers, MD, FACEP, FRCPC Conference Co-Chairman Chief, Emergency Medicine Emanuel Hospital Adjunct Associate Professor Emergency Medicine Oregon Health Sciences University Portland, Oregon Consistent with ACCME and ANCC policy, faculty for this educational activity are asked to disclose any commercial interests that may create or may be perceived as creating a conflict related to the material they will be presenting, as well as limitations on clinical studies presented, and any “off-label” use suggestions for medical products. Additionally, Symposia Medicus Board, Planning Committee, and Staff members have disclosed that they have no significant financial relationships that could pose a conflict of interest to the planning of this conference. This information is intended to assist you in forming your own judgments about content presented. Disclosure information will be included in your syllabus and/or verbally disclosed at the conference. Peng Fan, MD 12:45pm Questions & Answers Group Discussion Faculty Panel & Audience 1:30 Adjourn for the Day 5:30- Group Reception 6:30pm (Faculty, Participants & Guests) Thursday, June 26 8:00am Office 911: ABCs of Office Emergencies Robert Vissers, MD 8:45 Common Pediatric Orthopedic Emergencies Cole Condra, MD, MSc 9:30 Questions & Answers Group Discussion Faculty Panel & Audience 10:00 Break 10:15 Adolescent Substance Abuse: The Role of the Clinician in Prevention, Detection & Management (Rx = 20 minutes) Anthony Dekker, DO 11:00 Killer EKGs: Findings You Can’t Afford to Miss Robert Vissers, MD 11:45 B. Interesting Cases in Pediatric Emergency Medicine Cole Condra, MD, MSc C. Cardiology Case Studies in Women’s Health Karen Stout, MD D. Rheumatologic Disease: Challenging Case Studies Peng Fan, MD 4:30 Break 4:45 Smaller Group Breakouts – Session Two (Session One Topics Repeated) 6:15 Adjourn for the Day Saturday, June 28 8:00am Adolescent Depression & Suicide: Clues to Diagnosis & Management (Rx = 15 minutes) Anthony Dekker, DO 8:45 Syncope: When to Worry About the Heart (Rx = 15 minutes) 9:30 Questions & Answers Group Discussion Faculty Panel & Audience 10:00 Break (Hotel check-out, if applicable) 10:15 The “Hot Joint”: The Patient with a Single Swollen Joint (Rx = 10 minutes) Peng Fan, MD 11:00 Sexually Transmissible Diseases: A 2014 Update (Rx = 5 minutes) Anthony Dekker, DO 11:45 12:30pm Valvular Heart Disease Emergencies Karen Stout, MD 1:15 Conference Adjourns Karen Stout, MD Pediatric Dental Injuries (Rx = 15 minutes) Questions & Answers Group Discussion Faculty Panel & Audience Rx = Pharmacology Credit for Prescriptive Authority will be granted for these sessions Cole Condra, MD, MSc 12:30pm Questions & Answers Group Discussion Faculty Panel & Audience 1:15 Page 3 (Rx = 10 minutes) A. Identifying Office Emergencies: Who to Treat & Who to Send Robert Vissers, MD Adjourn for the Day Conference Brochure #1303, 19th Annual Summer Conference on Emergencies & Challenges in Primary Care Symposia Medicus A Non-Profit Corporation for Continuing Medical & Nursing Education
  • 4. CONFERENCE REGISTRATION, LODGING, & TRAVEL INFORMATION Enrollment for this conference is limited in order to provide the best possible learning environment. Early registration is advised. You can register and receive our lodging group rates by reserving the following ways: TERMS & CONDITIONS Hotel Policies • Group Rates above are per room, per night, and do not include State & Local taxes and Resort Surcharge/Lodging Tax, currently a total of 15% (subject to change) • On-line at our website, www.symposiamedicus.org; OR • Call Monday-Friday, 8:30am-5:00pm (Pacific Time), (925) 969-1789 or (800) 327-3161; OR • Fax form with Visa, MasterCard, American Express, or Discover to (925) 969-1795; OR • Children 6 years and under are complimentary, using existing bedding, when staying with adults (includes buffet breakfast, resort fee, and airport shuttle) • By mail, make check payable to Symposia Medicus and send with registration form to 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2287. • Additional occupants (over two in room), 7 years & older, are an additional $15 per person, per night (includes buffet breakfast, resort fee, and airport shuttle) For additional conference or lodging information, call Symposia Medicus at (800) 327-3161 or (925) 969-1789, or visit our website at www.symposiamedicus.org. • Maximum occupancy stated cannot be exceeded (no exceptions) CONFERENCE REGISTRATION INFORMATION TUITION: • Parking: Self-parking is complimentary for conference guests. Valet is not available at the resort. EARLY If postmarked by April 16, 2014 REGULAR If postmarked after April 16, 2014 $615 $715 • Changes (within 7 days of arrival) or failure to arrive/depart on confirmed date will be charged the entire reserved stay $515 $615 Cancellation Policies Physicians Residents, Nurses, PAs & All Others • Discounts are available for retired healthcare providers as well as groups of three or more. For more information, please contact Symposia Medicus. • Tuition includes continuing education certification, extensive conference syllabus, break refreshments, and group reception. The group reception is for faculty, registrants and their guests. • Conference registration will be confirmed via email and more information on travel, hotel, and activities will be emailed and also available on our website • This conference meets the requirements for CE tax deductibility; however, we suggest you consult your financial authority for more information CONFERENCE LODGING INFORMATION- GROUP RATES ARE FOR SINGLE/DOUBLE OCCUPANCY AND INCLUDE DAILY BUFFET BREAKFAST AND SHUTTLE SERVICE TO/FROM THE JACKSON HOLE AIRPORT Group Rates have been arranged at The Snow King Resort and Grand View Lodge. These rates will also be available three days before and three days after the conference, based on availability, if you wish to extend your stay. Two nights’ deposit (room rate only) must accompany your reservation. The balance of your lodging, hotel fees as stated below, and all incidental charges are due to the hotel. The hotel accepts most major credit cards. Please note that our block of rooms is limited and on a first come, first served basis. PLEASE RESERVE EARLY as rooms may sell out and/or room rates may increase. Snow King Hotel Room Room Descriptions (Conference room located in Snow King Building) 1 King OR 2 Queen beds, room features air conditioner, iron/ironing board, and coffee maker. Group Rates Maximum (Single/Double Room Occupancy) Occupancy $185/night 4 Grand View Condos are six years old and are a 5-10 minute walk to the conference room. Also, housekeeping is not available on a daily basis. Grand View Suite • Rollaways & Cribs: Rollaway beds are not available at the Resort. Cribs are available at no charge, based on availability. This two room suite offers a queen bed and separate living area. The den offers a fireplace, mini kitchen with microwave, coffee maker, sink and small fridge. There is a Queen size wall bed, washer/dryer, work desk and furnished terrace. $245/night 4 Large one-bedroom condo with living room, Grand View dining room and fully equipped kitchen. Includes 1-Bedroom a gas fireplace and deck. The bathroom includes a Residence custom glass shower enclosure and large whirlpool bathtub. Includes washer/dryer and desk. $285/night • Check-in time is 4:00pm and check-out time is noon. Late check-out can only be confirmed on the date of departure by the front desk. • Conference cancellations must be confirmed in writing and a 10% of paid tuition processing fee will be assessed. No refunds will be made if cancellation is postmarked after May 21, 2014; however, tuition, less 10% processing fee may be applied to a future Symposia Medicus conference. • Per our hotel contract, hotel reservation cancellations must be made in writing to Symposia Medicus and you will receive a full refund if postmarked by April 23, 2014. Between April 24, 2014 and May 21, 2014, one night’s deposit is forfeited. After May 21, 2014, no hotel refunds can be made. • All cancellations must be made in writing to Symposia Medicus (via email, fax or mail) and postmarked by the dates stated above • In the unlikely event of conference cancellation by Symposia Medicus, full tuition and, if reservation was made with Symposia Medicus, hotel deposit refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses. AIR TRAVEL INFORMATION You will be flying into Jackson Hole, Wyoming, which is approximately 20 minutes from the resort. Information of ground transportation will be sent to registrants and available online at our website. Symposia Medicus has arranged for discount fares with American and Delta airlines for this conference. Reservations can be made either through your travel agency or through the airlines at the website or Convention Desk numbers listed below. In order to receive the discounted rate, you or your travel agent must refer to the Symposia Medicus Group ID number listed here. American Airlines Delta Airlines For discounts on American Airlines flights, please book online at www.aa.com. Click on the link “Refine your search” (located under the blue button “Search”) and another page will appear. Enter all your information, and at the bottom of the page insert the promotion code 4964AD. For questions, please call the American Airlines Convention Desk at (800) 433-1790. For discounts on Delta Airlines, please visit www.delta.com and click on the link “More Search Options”, located at the bottom of the “Book a Trip” box. Once you click on this link, another page will appear. On this page, you will need to insert NMG7E in the “Meeting Event Code” box, located at the right hand side of the page. For questions, please call the Delta Airlines Convention Desk at (800) 328-1111. 4 Grand View 3-Bedroom Residence This three bedroom condo offers 2,000 square feet of space. It offers a fully equipped kitchen, dining room, living room, two gas fireplaces and a washer/dryer and desk. There are a total of three bathrooms, two with showers and one with a shower and whirlpool tub. CAR RENTAL DISCOUNT $445/night 8 For conference discounts, Symposia Medicus has made arrangements with AVIS and Budget Car Rentals. Reservations can be made by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below: AVIS 800-331-1600 AWD #B766625 Budget 800-772-3773 BCD #U076767 By reserving through Symposia Medicus, the Resort Fee is included in the group rates stated above. Includes: complimentary Wi-Fi throughout the resort, local phone calls, toll-free phone calls, use of 24-hour internet kiosks/color printer, complimentary self-parking, pool/whirlpool, sauna/exercise room, on-property transportation, and a round trip airport shuttle. Page 4 3 Conference Brochure #1303, 19th Annual Summer Conference on Emergencies & Challenges in Primary Care Symposia Medicus A Non-Profit Corporation for Continuing Medical & Nursing Education
  • 5. CONFERENCE LOCATION Located in the northwestern corner of Wyoming, just an hour south of Yellowstone National Park, Jackson Hole is a beautiful alpine valley surrounded by snowcapped mountains, high mountain lakes and majestic scenery. Within the valley lies Grand Teton National Park, the National Elk Refuge and the friendly town of Jackson. Set in the shadow of the towering Grand Teton Mountains, Jackson Hole is a unique blend of Western charm and cosmopolitan atmosphere. For those who want a real taste of the Old West, Jackson Hole boasts some of the finest western entertainment and offers everything from an evening horseback ride and steak fry to an outdoor chuck wagon dinner. The picturesque stagecoach ride around the town square and the exciting shootout, held there every evening for the last 56 years, complete this Wild West theme. There are numerous art galleries displaying the works of a large number of well-known artists. You can also enjoy the nightly concerts of the Grand Teton Music Festival at the Festival Hall at Teton Village, where everything from Beethoven to Bartok is performed by some of our nation’s finest musicians. The outdoor adventurer can white water raft on the Snake River, hike the Grand Tetons or explore Yellowstone National Park with its wide variety of wildlife and grand scenery. Don’t miss the Jackson Hole Rodeo, one of the area’s oldest and most exciting traditions. Our resort, the Snow King Resort & Grand View Lodge, is conveniently located to take advantage of this natural playground. The spacious Grand View condos are fully furnished in an elegant western style, with rustic log and stone finishes. Guest rooms offer spectacular views of the town of Jackson, Snow King Mountain, or the Grand Teton Mountain Range. At the resort, enjoy an exhilarating ride on the Alpine Slide, winding down 2,500 feet through woods and wildflowers; play Alpine Miniature Golf, a fun activity for the whole family; or, ride the Scenic Chair lift to the top of Snow King Mountain for an unmatched view of the Tetons and Jackson Hole. Whatever your pleasure, you are sure to find it at the 19 th Annual Summer Conference on Emergencies & Challenges in Primary Care in Jackson Hole, Wyoming! For our complete calendar of conferences, please visit www.symposiamedicus.org. Brochures are available 6-8 months prior to the conference. 2013 CALENDAR OF FUTURE CONFERENCES 1277 24th Annual Conference on Hot Topics in Primary Care Maui, Hawaii Nov 6-9 1279 14th Annual Fall Conference on Emergency Medicine Atlantis, Bahamas Nov 13-16 1275 Hot Topics in Pediatric Emergencies Eastern Caribbean Cruise (Celebrity Cruises - Reflection) Nov 16-23 1281 5th Annual Conference on Emergencies in Pediatrics New York City, New York Dec 20-21 1283 17th Annual Conference on Emergencies in Primary Care New York City, New York Dec 20-21 1287 3rd Annual Winter Conference on Primary Care: Including Women’s Health Issues Big Sky, Montana Feb 18-22 1291 21st Annual Spring Conference on Women’s Health St. Maarten, Caribbean Mar 26-29 1296 Integrative Medicine for Primary Care Practice Manchester, Vermont May 14-17 1298 15th Annual Summer Conference on Women’s Health Napa, California Jul 9-12 1300 10th Annual Summer Conference on Emergency Medicine Napa, California Jul 16-19 1301 Hot Topics in Pediatric Emergencies Alaska Cruise (Celebrity Cruises - Solstice) Jul 18-25 1302 Challenges in Obstetrics and Gynecology Alaska Cruise (Celebrity Cruises - Solstice) Aug 1-8 1307 25th Annual National Conference on Women’s Health Care Las Vegas, Nevada Sep 18-20 1309 Emergencies & Challenges in Pediatrics European Cruise (Celebrity Cruises - Infinity) Sep 19-Oct 1 1313 Current Issues in Women’s Health Care Caribbean Cruise (Celebrity Cruises - Reflection) Nov 1-8 1314 22nd Annual Fall Conference on Issues in Women’s Health Maui, Hawaii Nov 5-8 1315 25th Annual Conference on Hot Topics in Primary Care Atlantis, Bahamas Nov 12-15 1317 15th Annual Fall Conference on Emergency Medicine Playa del Carmen, Mexico (Mayan Riviera) Nov 19-22 1320 6th Annual Conference on Emergencies & Challenges in Pediatrics New York City, New York Dec 19-20 1322 18th Annual Conference on Emergencies & Challenges in Primary Care New York City, New York Dec 19-20 2014 CALENDAR OF FUTURE CONFERENCES Page 5 3 Conference Brochure #1303, 19th Annual Summer Conference on Emergencies & Challenges in Primary Care Symposia Medicus A Non-Profit Corporation for Continuing Medical & Nursing Education
  • 6. CONFERENCE & LODGING REGISTRATION FORM Register on-line at www.symposiamedicus.org SYMPOSIA MEDICUS 19th Annual Summer Conference on Emergencies & Challenges in Primary Care OR COMPLETE THIS FORM AND MAIL OR FAX WITH APPROPRIATE PAYMENT TO: Symposia Medicus 399 Taylor Blvd., Suite 201 Pleasant Hill, CA 94523-2287 Phone: (800) 327-3161 OR (925) 969-1789 FAX: (925) 969-1795 Snow King Resort & Grand View Lodge Jackson Hole, Wyoming June 25-28, 2014 PLEASE PRINT LEGIBLY: (Show name and one degree as you would like it printed on your conference materials): Registrant’s Name:_____________________________________________________________________________ Degree: __________________ First Last Registrant Email Address (required): _________________________________________________________________________________________________________ All registrants must provide their individual email address in order to register for this conference. Confirmation/receipt will be emailed to this address. Email an additional copy of my confirmation/receipt to: ________________________________________________________________________ (Provide additional email address) Mailing Address: _______________________________________________________________________________________________________ Street City Check if above address is: Work____ Home____ State Zip Provide office/workplace name here: ______________________________________________ Primary Work: (__________) ___________________________________ Home: (__________) ________________________________________ Cell: (__________) __________________________________________ Fax: (__________) __________________________________________ Professional Specialty: __________________________________________________ Our digital conference syllabus will be available for download on our website approximately two weeks before the conference. Please check here if you prefer a paper syllabus. FRIDAY BREAKOUT PREFERENCE (Please refer to schedule and select one breakout for each session): Session Two: ____ A ____ B ____ C ____ D Session One: ____ A ____ B ____ C ____ D LODGING RESERVATIONS Arrival:________________________________________ (DAY of the week) Please reserve accommodations at The Snow King Resort & Grand View Lodge for: ________/________/________ Month Day Year GROUP RATES are for single/double occupancy and INCLUDE DAILY BUFFET BREAKFAST, RESORT FEE, & SHUTTLE TO/FROM JACKSON HOLE AIRPORT: GROUP RATES Maximum TYPE OF ROOM (Single/Double) Occupancy Snow King Hotel Room $185/night 4 Grand View Suite $245/night 4 Grand View 1-Bedroom Residence $285/night 4 Grand View 3-Bedroom Residence $445/night 8 Preferred Bed Type (cannot guarantee): #1303 King/Queen__________ Departure:______________________________________ (DAY of the week) ________/________/________ Month Day Year • Group rates shown are per room, per night, and do not include State & Local taxes and Resort Surcharge/Lodging Tax, currently a total of 15% (subject to change) • Children 6 years and under are complimentary, using existing bedding, when staying with adults (includes buffet breakfast, resort fee, and airport shuttle) • Additional occupants (over two in room), 7 years & older, are an additional $15 per person, per night (includes buffet breakfast, resort fee, and airport shuttle). • Maximum occupancy stated cannot be exceeded (no exceptions) • Rollaways & Cribs: Rollaway beds are not available at the Resort. Cribs are available at no charge, based on availability. Two Beds__________ Names of Room Occupants (and ages, if children):_______________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________ Please circle names of the room occupants (other than you) who are registered for this conference Other Comments/Requests (cannot guarantee): _________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________ TWO NIGHTS’ LODGING DEPOSIT ROOM RATE ONLY TUITION AMOUNT DUE $ $ Payment Type (Please Check One): ADDITIONAL LODGING DEPOSIT _____ Check $ _____ _____ TOTAL (If you wish to include an additional amount for lodging, please state here) (Balance of hotel charges will be due to hotel) $ _____ _____ Cardholder Name: _________________________________________________________ Signature: _________________________________________________________________ Billing Address: ________________________________________________________________________________________________________________________________________ Card Number Expiration Date Security # Month/Year (on front or back of card) / Page 6 3 Conference Brochure #1303, 19th Annual Summer Conference on Emergencies & Challenges in Primaryas stated in this brochure. By registering, you agree to the Terms & Conditions Care ALL INFORMATION STATED ABOVE WILL REMAIN CONFIDENTIAL TO SYMPOSIA MEDICUS Symposia Medicus A Non-Profit Corporation for Continuing Medical & Nursing Education