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April 9th 2015 • Wyndham Dallas Suites – Park Central
.
PharMerica Education Symposia & Exhibition Series
Registration Fee
Agenda
The cost for participation is $0 to all registrants who register BEFORE
Tuesday, March 24th. All registrations must be postmarked no later than
March 24th in order to receive the Early Bird Registration.
7:15am
7:30am
Registrations postmarked or made online after March 24th will be
subject to the full registration fee of $25 per participant. The
registration deadline is Tuesday, April 7th.
All registrations include: The opportunity to earn up to 6 CEUs, breakfast
and lunch buffet, and a welcome gift.
Make Your Reservations Early!!
PharMerica has arranged for a special group rate of $129.00 per night
single or double occupancy plus appropriate tax and service charge. This
rate will be extended for three days prior to and after the conference
dates, based on hotel availability. Reservations must be made by
Wednesday, March 25th, 2015. Reservation requests made after the
deadline will be based on availability at the prevailing rate determined
by the hotel. To make your hotel reservations, call the Wyndham Dallas
Suites –Park Central, visit at 972.233.7600 or 800.996.3426. You may
also book online at www.wyndham.com.
Hotel Information
Wyndham Dallas Suites – Park Central
7800 Alpha Road
Dallas, TX 75240
Hotel: 972.233.7600; Reservations: 800.996.3426
Registration Payment
Payment for the symposium can be made by U.S. Check, American
Express, Visa, or MasterCard and must be submitted with your
registration. PharMerica will not process your registration without full
payment.
To avoid duplicate charges to your credit card, DO NOT mail a copy of
your registration form once it has been completed online. A
confirmation will be e-mailed to you within 15 days of receipt.
Substitutions
Substitutions will be allowed up to one (1) calendar day prior to the
conference. Conference registration changes and/or substitutions must
be made in writing via email to lindsey.richcreek@pharmerica.com.
Cancellations/Refunds
Any change or cancellation must be made in writing and emailed to
lindsey.richcreek@pharmerica.com. Refunds will not be issued after
Tuesday, April 7th, 2015. Refunds will be processed within 15 days from
date of request. Refunds or credits will not be made on no-shows.
Registration
Breakfast Buffett
“Promotional Educational Program” - TBA
8:30am “Diabetes Challenges Improving Outcomes in Older Adults”
Scott Drab, PharmD.,CDE, BC-ADM – 1.5 CE Hours
10:00am Break
Vendor Interaction
11:00am “Antipsychotic Management”
Charles Crecelius, MD, PhD, FACP, CMD – 1.5 CE Hours
12:30pm Lunch
“Promotional Educational Program” - Pfizer
1:30pm “INTERACT”
Daniel Haimowitz, M.D., F.A.C.P., C.M.D. – 1.5 CE Hours
3:00pm Break
3:15pm “Understanding COPD: Best Practices and Reducing Readmissions”
Gary Greenspan, MD - 1.5 CE Hours
Conference Attire
Casual attire is suitable for all meetings, sessions, and meals.
Nursing scrubs are also accepted. Please remember to bring a
sweater or jacket for air-conditioned rooms.
Continuing Education Credits (CEU Credits)
PharMerica has requested up to 6 hours of CEU hours of continuing
education for all nurses and nursing home administrators.
Individuals seeking approval for all other professional licensures
must file independently and should contact Lindsey Richcreek,
Lindsey.richcreek@pharmerica.com, Marketing Coordinator, for
the materials needed.
CE Statement
National Association of Directors of Nursing Administration
LTC is accredited as a provider of continuing nursing education by
the American Nurses Credentialing Center's Commission on
Accreditation. NADONA/LTC is a Certified Sponsor of professional
continuing education with the National Association of Long Term
Care Administrator Boards (NAB) and has approved this program
for the number of clock hours listed under their sponsor agreement
with NAB/NCERS. State licensure boards, however, have final
authority on the acceptance of individual courses.
In accordance with the PhRMA Code on Interaction with healthcare
professionals, attendance at this education program is limited to
healthcare professionals. Accordingly, attendance by guests or
spouses is not appropriate.
PharMerica is a Commercial Supporter and
has provided an education grant for this program.
1901 Campus Place, Louisville KY 40299 • 502.627.7743 •
www.PharMerica.com/events
April 9th 2015 • Wyndham Dallas Suites – Park Central
.
PharMerica Education Symposia & Exhibition Series
Registration Information
Please PRINT. Registration will not be accepted unless license
number is provided and ALL fields are completed.
Full Name____________________________________________________
Registration Type
Please read cancellations/refunds policy under General Information.
o
o
Early Bird (Postmarked by 03/24/2015):
Late Registration:
Nickname for Badge_________________ Title_____________________
Organization Name___________________________________________
Organization Address_________________________________________
City___________________ State________ Zip Code________________
Telephone_____________________ Fax_________________________
Email________________________________________________________
License #_____________________________________________________
Signature_____________________________________________________
Are you a customer of PharMerica?
o Yes
o No
$0.00
$25.00
Total: $___________________
Payment Options
Registrations without payment will NOT be processed.
o Check (attached)
Please charge my:
o American Express
○ Visa
○ MasterCard
Account Number:_______________________________________
Exp. Date:______________ Sec. Code:_____________________
Name as it appears on Card (please print)_____________________
Signature of Cardholder___________________________________
Billing Address (if different from organization address)
Do you have any dietary restrictions?
o Yes
o No
o If yes, please
specify______________________________________
_______________________________________________________
Have you attended a PharMerica Symposia before?
o Yes
o No
Online: www.pharmerica.com/events
Mail Application and payment to:
PharMerica
ATTN: Lindsey Richcreek
1901 Campus Place
Louisville, KY 40299
1. Registrant’s Position: Check only one.
o Facility Owner/CEO
o Administrator
o Assistant Administrator
o Director of Nursing
o Other______________________________________
2. Type of Facility: Check all that apply
o Skilled Nursing Center
o Assisted Living/Residential Care
o Skilled Nursing Center and Assisted Living Community
o Sub-Acute Care
o Continuing Care Retirement Community
o Other_______________________________
City_____________ State_______ Zip Code_________________
Registrations without payment will NOT be processed.
Questions
Visit www.pharmerica.com/events, or email
lindsey.richcreek@pharmerica.com , or
call 502.627.7743 or fax 502.261.2469
3. How did you hear about the PharMerica Symposium?
o Direct Mail
o Fax
o PharMerica Website
o PharMerica Representative
o Other ______________________________
1901 Campus Place, Louisville KY 40299 • 502.627.7743 •
www.PharMerica.com/events