P.O. Box 9311
Ogden, Utah 84409
(801) 625-3122
mjfrancom@msn.com

Conference Registration Form - Step 1

I plan to attend the Ogden Surgical-Medical Society Annual Meeting May 14-16, 2008.

Dues

Please Select from one of the following options


$250 Physician Member *
$175 Mid-Level Provider Member *
$100 Nurse/Auxiliary/Retired Physician 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 addition options


Syllabus ($25.00)
Breakfast ($10.00) x Days
Lunch ($25.00) x Days

 

 

 

 

Social Events:
McKay-Dee Hospital Family Night & Buffet Supper
@ George S. Eccles Dinosaur Park-Museum (1544 Park Blvd.)
Wednesday, May 14, 2008 @ 6:30 PM
Number attending:
the President’s Reception @ 6:30 PM
Ogden Golf & Country Club(4197 Washington Blvd.)
Limited Seating - RSVP Required
Number attending: ($40/per person)
Sponsorship:

I am interested in sponsoring a speaker $2,500

I am interested in donating : $

 

Breakout Session Choices:

Wednesday – May 14, 2008


Breakout Session 10:00 – 11:00 AM

Childhood Depression – Douglas Kondo, MD

DVT Prophylaxis – Howard Sharp, MD

Breakout Session 11:00 – 12:00 Noon

Pathology Behind Common Voice Disorders – Greg Postma, MD

Childhood Obesity – Nicole Mihalopoulos

Breakout Session 2:30 - 3:30 PM

Davinci Robot Prostate Surgery – Chris Jensen, MD

Melanoma Treatment – R. Dirk Noyes, MD

Breakout Session 3:30 – 4:30 PM

Sleep Medicine Therapy - B. Tucker Woodson, MD

Shoulder Injury Management - Dann Byck, MD

Thursday – May 15, 2008


Ophthalmology Session

I will attend the Ophthalmology Concurrent Session

Breakout Session 10:00 - 11:00 AM

Imaging in Cardiology Updates – Jeffrey Anderson, MD

Profound Hearing Loss – Howard Sharp MD

Breakout Session 11:00 – 12:00 Noon

Pathology Behind Common Swallowing Disorders - Greg Postma, MD

Chronic Pelvic Pain, Howard Sharp, MD

Breakout Session 2:30 - 3:30 PM

Chronic Sinusitis – Todd Kingdom, MD

Growth Hormone in Pediatric Patients – Michael Swinyard, M.D. & Chad Barnett, P.A.

Breakout Session 3:30 – 4:30 PM

Hormone Replacement therapy – Florence Comite, MD

Common Dermatologic Lesions – David Allen, MD

 

TOTAL:

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