Registration

Conference Registration Form - Step 1

I plan to attend the Ogden Surgical-Medical Society Annual Meeting May 16-18, 2012.

Dues

Please Select from one of the following options

$300 Physician Member *
$200 Mid-Level Provider Member *
$150 Retired Physician Member *
$100 Nurse/Auxiliary Member *
I am the guest of an existing member
*Includes: Membership, Registration Fees, CME Credits & Certificate, CD-Syllabus, Breakfast, Lunch and Breaks

If you are a guest please select your additional options

Breakfast ($15.00) x Days
Lunch ($25.00) x Days

Free Social Events:


WEDNESDAY May 16

George S. Eccles Dinosaur Park Family Night Buffet
1544 Park Blvd., Ogden
(Contact: Teresa @ (801) 564-5585)
6:00 PM to 8:30 PM
Sponsored by: McKay-Dee Hospital
Number attending:


THURSDAY May 17

David Allen, MD Reception
Union Station, Old Timer's Room, 2501 Wall Avenue. Ogden, Utah 84401
(Contact: Teresa @ (801) 564-5585)
6:30 PM
Sponsored by: Ogden Regional Medical Center
Number attending:

Revival of the Ladies Social-Free-All Partners & Guests Invited
Lunch & Fashion Show
Timberlodge Collection, 2214 Washington Boulevard, Ogden
(Contact: Teresa @ (801) 564-5585)
1:30 AM to 2:30 PM
Sponsored by: Weber County Medical Society & Alliance
Number attending:

Utah Academy of Family Physicians' Annual Meeting
UAFP Members Only-5:30 PM
Dinner will be served.
Ogden Eccles Conference Center
2415 Washington Blvd., Ogden
(Contact: Teresa@801-564-5585)
Seating is limited. Reservations required.
Number attending:



FRIDAY May 18

Free Stethoscopes Cleaning Clinic
Free tips & inside replacements
11:30 PM to 2:30 PM
Sponsored by: The University of Utah Health Sciences Store
Number of Stethoscopes bringing:

2012 OSMS Golf Tournament:


Click here if you want to participate in the 2012 OSMS Golf Tournament at the Ogden Country Club after 5 p.m. on Friday, May 18, 2012. This 9-hole Scramble Tournament is $50 per player and includes green fees, cart, and driving range use, plus tax. Prizes for 1st, 2nd, and 3rd place. Fee to be paid at the Ogden Country Club on Friday, May 18, 2012.


Sponsorship:

I am interested in sponsoring a speaker $2,500.

I am interested in donating money: $

 

Exhibitors:


Exhibit Table $1,000

 

Free Breakout Session Choices:

 

Wednesday – May 16, 2012


2:00 PM Skills Lab


Biopsy Lab - Chad Tingey, MD, & Robert Jelaco, PA

Suturing Lab - Matt Pollard, MD & Jed Southwick, MD

Excision Lab - Jeremy Rinard, MD


3:00 PM Skills Lab


Biopsy Lab - Chad Tingey, MD, & Robert Jelaco, PA

Suturing Lab - Matt Pollard, MD & Jed Southwick, MD

Excision Lab - Jeremy Rinard, MD


4:00 PM Skills Lab


Biopsy Lab - Chad Tingey, MD, & Robert Jelaco, PA

Suturing Lab - Matt Pollard, MD & Jed Southwick, MD

Excision Lab - Jeremy Rinard, MD



 

Thursday – May 17, 2012


2:00 PM to 4:00 PM Breakout Session


Pill Shoppers 101: Prescription Drug Abuse & The Controlled Substance Database
Tom Harper, MPA from DOPL


2:00 PM Skills Lab


Ear Draining - Douglas Anderson, MD

Fetal Alcohol Spectrum Disorders: Prevention Tool Kit - Mary DeJoseph, DO


3:00 PM Skills Lab


Ear Draining - Douglas Anderson, MD

Fetal Alcohol Spectrum Disorders: Prevention Tool Kit - Mary DeJoseph, DO


4:00 PM Skills Lab


Ear Draining - Douglas Anderson, MD

Fetal Alcohol Spectrum Disorders: Prevention Tool Kit - Mary DeJoseph, DO



 

Friday – May 18, 2012


2:00 PM Skills Lab


Red Eye - Mark Schluter, MD

Name That Rash - D. Edgar Allen, MD

Financials - UMA Financial Services - Why Investing in Today's Market Requires a Thick Skin (No CME)

Wound Repair


3:00 PM Skills Lab


Red Eye - Mark Schluter, MD

Name That Rash - D. Edgar Allen, MD

Financials - UMA Financial Services - Why Investing in Today's Market Requires a Thick Skin (No CME)

Wound Repair


4:00 PM Skills Lab


Red Eye - Mark Schluter, MD

Name That Rash - D. Edgar Allen, MD

Financials - UMA Financial Services - Why Investing in Today's Market Requires a Thick Skin (No CME)

Wound Repair

 

TOTAL:

If the above Information is correct please select continue to proceed with your transaction




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