Part 4: Speakers and education committees, registration FAQs and
2015 speakers animal Behavior equine Melissa Bain, DVM, DACVB, M.S. Frank Andrews, DVM, M.S., DACVIM-LA University of California, Davis School of Veterinary Medicine Davis, Calif. Louisiana State University, Veterinary Clinical Sciences Baton Rouge, La. Emma Parsons, B.A., KPA-CTP, CDBC John Bonagura, DACVIM, DVM, M.S. North Chelmsford, Mass. The Ohio State University Columbus, Ohio Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB North Georgia Veterinary Specialists Buford, Ga. Affiliation: Elanco Animal Health aquaculture Lester Khoo, VMD, Ph.D. Mississippi State College of Veterinary Medicine Stoneville, Miss. Roulf Embertson, DVM, DACVS Rood and Riddle Lexington, Ky. Charlotte Lacroix, DVM, J.D. Veterinary Business Advisors, Inc. Whitehouse Station, N.J. Gwendolen Lorch, DVM, M.S., Ph.D., DACVD The Ohio State University Columbus, Ohio food Animal Tim Barman, DVM Cooper Farms, Inc. Fort Recovery, Ohio Andrew Bowman, M.S., DVM, Ph.D., DACVPM The Ohio State University Columbus, Ohio Troy Brick, DVM, M.S. The Ohio State University Columbus, Ohio Hans Coetzee, BVSc., Ph.D., DACVCP, DACAW Iowa State University, College of Veterinary Medicine Ames, Iowa Victor Cortese, DVM, Ph.D., DABVP Zoetis Animal Health Simpsonville, Ky. Fred Gingrich, DVM Country Road Veterinary Services Ashland, Ohio Greg Habing, DVM, M.S., Ph.D., DACVPM The Ohio State University Columbus, Ohio John Middleton, DVM, Ph.D., DACVIM The University of Missouri College of Veterinary Medicine, Department of Veterinary Medical and Surgery Columbia, Mo. Lowell Midla, VMD, M.S. The Ohio State University Marysville, Ohio Jason Stull, VMD, MPVM, Ph.D., DACVPM The Ohio State University Columbus, Ohio Richard Wiley, DVM New Pittsburg Small Animal Clinic Wooster, Ohio holistic & Integrative medicine Doug Knueven, DVM, CVA, CVC, CVCH Beaver Animal Clinic Beaver, Pa. William Kruesi, M.S., DVM Wallingford, Vt. . 60 . 2015 education Carolina Medina, DVM, DACVSMR, CVA, CVCH VCA Sacramento Veterinary Referral Center Sacramento, Calif. Melissa Shelton, DVM Crow River Animal Hospital, animalEO Essential Oils for Animals Howard Lake, Minn. national veterinary accreditation program Jamie Davis, DVM, M.S. United States Department of Agriculture APHIS, Veterinary Services Pickerington, Ohio Nancy Hannaway, DVM pet Animal Richard Bednarski, M.S., DVM, DACVA The Ohio State University Columbus, Ohio John Bonagura, DACVIM, DVM, M.S. The Ohio State University Columbus, Ohio Tony Buffington, DVM, Ph.D., DACVN The Ohio State University Columbus, Ohio Affiliation: Nestle Purina Sherman Canapp, DVM, M.S., CCRT, DACVS, DACVSM Veterinary Orthopedic Sports Medicine Group Annapolis Junction, Md. Lynette Cole, DVM, M.S., DACVD Thomas Hans, DVM Jennifer Gieg, DVM, DACVIM United States Department of Agriculture APHIS, Veterinary Services Pickerington, Ohio MedVet Medical & Cancer Centers for Pets Cincinnati, Ohio Daniel Harpster, DVM Lynn Guptill, DVM, Ph.D., DACVIM United States Department of Agriculture APHIS, Veterinary Services Pickerington, Ohio Purdue University College of Veterinary Medicine West Lafayette, Ind. Kellie Hough, DVM, MPH-VPH Barbara Kitchell, DVM, Ph.D., DACVIM (Oncology) Roger Krogwold, DVM, M.S., MPH, DACVPM United States Department of Agriculture APHIS, Veterinary Services Pickerington, Ohio Victoria Spellmire, DVM United States Department of Agriculture APHIS, Veterinary Services Pickerington, Ohio Steven Wilden, DVM United States Department of Agriculture APHIS, Veterinary Services Pickerington, Ohio • COMMITTEE CHAIR • Brad Garrison, DVM United States Department of Agriculture APHIS, Veterinary Services Pickerington, Ohio United States Department of Agriculture APHIS, Veterinary Services Pickerington, Ohio committees The Ohio State University Columbus, Ohio VCA Veterinary Care Animal Hospital and Referral Center Albuquerque, N.M. Affiliation: Nestle Purina Heidi Lobprise, DVM, DAVDC Main Street Veterinary Hospital Flower Mound, Texas Affiliation: Zoetis Andrew Moorhead, DVM, M.S., Ph.D. University of Georgia College of Veterinary Medicine Athens, Ga. Affiliation: Merial; Bayer Animal Health Robert Munger, DVM, DACVO Animal Ophthalmology Clinic Dallas, Texas • ANIMAL BEHAVIOR • Chair: Meghan Herron, Christine Kabalan, DVM DVM Laurie Schulze, DVM Elizabeth Feltes, DVM Traci Shreyer, M.A. • EQUINE • Chair: Bimbo Welker, DVM Ronald Fuller, DVM Paul Masters, DVM Rustin Moore, DVM Daniel Stradley, DVM Scott Strosnider, DVM Walter Threlfall, DVM Ryan Zimmerman, DVM • FOOD ANIMAL • Chair: Eric Gordon, DVM Amanda Wagner, DVM Andrew Bowman, DVM Ellen Yoakam, DVM William Shulaw, DVM • HOLISTIC & INTEGRATIVE MEDICINE • Chair: Neal Sivula, DVM Kriston Sherman, DVM James Carlson, DVM Karen Spracklen, DVM Brett Ellis, DVM Dorothea Zivkovic, Jon Ellis, DVM DVM Donn Griffith, DVM • PET ANIMAL • Chairs: Robert Knapp, DVM & Linda Lehmkuhl, DVM Ellen Imhof-Matlock, DVM Paul Knapp, DVM Robert Sherding, DVM Walter Threlfall, DVM Terah Webb, DVM • PRACTICE MANAGEMENT • Chair: Tom Pumpelly, DVM Robert Knapp, DVM Andrea Lukuch Hal (Chip) Taylor, III, DVM • PUBLIC HEALTH • Chair: Jason Stull, DVM Jane Battig, DVM Julie Bilchak, DVM Steven Close, DVM Jeff Hayes, DVM Michael Hockman, DVM Armando Hoet, DVM Jeanette O’Quin, DVM Kathy Smith, DVM • SHELTER ANIMAL • Chairs: Jeanette O’Quin, DVM & Stephanie Wimbish, CAWA Melanie deHaan, DVM Rachel Finney, CAWA Robert Fisher, DVM Brian Forsgren, DVM Sharon Harvey, M.A. Melinda Holland, DVM Debbie Johnson, DVM Mark Kumpf, CAWA Laurie Millward, DVM Robert Sigler, DVM Brian Weltge • TECHNICIAN • Chairs: Angela Beal, DVM & Vicki Riley, RVT Kimberly Myers, RVT . 61 . 2015 speakers Thaibinh Nguyenba, DVM, DACVIM (Cardiology) MedVet Medical & Cancer Centers for Pets Worthington, Ohio Barbara Oglesbee, DVM, DABVP (Avian) MedVet Medical & Cancer Centers for Pets Columbus, Ohio David Panciera, DVM, M.S., DACVIM Virginia–Maryland Regional College of Veterinary Medicine Blacksburg, Va. Valerie Parker, DVM, DACVIM, DACVN The Ohio State University Columbus, Ohio Carol Reinero, DVM, Ph.D., DACVIM University of Missouri College of Veterinary Medicine Columbia, Mo. Affiliation: Merck and Boehringer Ingelheim Robert Sherding, DVM, DACVIM The Ohio State University Columbus, Ohio Affiliation: Trupanion Pet Insurance Natalie Theus, DVM, M.S., DACVD MedVet Medical & Cancer Centers for Pets Worthington, Ohio David Twedt, DVM, DACVIM Colorado State University College of Veterinary Medicine Fort Collins, Colo. Affiliation: Nestle Purina Amanda Fark, MBA Edward Breitschwerdt, DVM, DACVIM The Ohio State University College of Veterinary Medicine Columbus, Ohio North Carolina State University College of Veterinary Medicine Raleigh, N.C. Affiliation: IDEXX Laboratories, Bayer Animal Health, and Galaxy Diagnostics Edward Guiducci, J.D. Guiducci & Guiducci, P.C. Arvada, Colo. Bash Halow, B.A., CVPM, LVT Halow Tassava Consulting Wyalusing, Pa. Holly Hillyer Ohio Environmental Protection Agency Columbus, Ohio Stith Keiser American Animal Hospital Association Lakewood, Colo. Cindy Kidd, DVM Mt. Zion Animal Clinic & Boarding Jackson, Ohio Tim Kolb, DVM Northwest Animal Hospital Columbus, Ohio Justin Mohler, CPA JP Mohler, LLC Springfield, Ohio Roger Redman, DVM Ark Veterinary Hospital Wooster, Ohio Michael Snee Ohio Department of Health Columbus, Ohio Terah Webb, DVM, DACVO Denise Tumblin, CPA MedVet Medical & Cancer Centers for Pets Worthington, Ohio Wutchiett Tumblin and Associates Columbus, Ohio Affiliation: Advanstar Publications Matthew Winter, DVM, DACVR The University of Florida College of Veterinary Medicine Gainesville, Fla. Ernest Ward, Jr., DVM, CVFT E3 Management, LLC Ocean Isle Beach, N.C. Joshua Daniels, DVM, Ph.D., DACVM The Ohio State University Veterinary Medical Center Columbus, Ohio Tony Forshey, DVM Ohio Department of Agriculture Reynoldsburg, Ohio Richard Gary, Ph.D. Ohio Department of Health Columbus, Ohio Andrew Hillier, DVM, BVSc, MANZCVS, DACVD Zoetis Placida, Fla. W. Michael Hockman, B.S., DVM, M.S. Ohio Department of Agriculture Reynoldsburg, Ohio Robert Hutchison, DVM Animal Clinic Northview North Ridgeville, Ohio Joanne Midla, VMD Ohio Department of Health Columbus, Ohio Karnail Mudahar, DVM, MPH FSIS, United States Department of Agriculture Lombard, Ill. Glen Needham, Ph.D. The Ohio State University Columbus, Ohio Jeanette O’Quin, DVM, MPH-VPH The Ohio State University College of Veterinary Medicine Columbus, Ohio Saba Osloobi, DVM, MPH-VPH practice management . 62 . public health Susan Allen, AIA, ASID, LEED AP BD+C Greg Ballash, MPH-VPH TC Architects Akron, Ohio The Ohio State University Columbus, Ohio Dublin, Ohio Linda Saif, M.S., Ph.D., Honorary DACVM The Ohio State University Wooster, Ohio Colleen Shockling Dent, MPH-VPH The Ohio State University Columbus, Ohio Susan Skorupski, B.S., M.S., DVM United States Department of Agriculture APHIS, Veterinary Services Pickerington, Ohio small ruminants Amy Breton, CVT, VTS (ECC) Blue Pearl-Waltham Waltham, Mass. Joseph Crock, DVM Joany Van Balen, DVM Jeffrey Lakritz, DVM, Ph.D., DACVIM, DACVCP The Ohio State University College of Veterinary Medicine Columbus, Ohio The Ohio State University Columbus, Ohio Vet Tech Institute at Bradford School Columbus, Ohio Affiliation: Animal Hospital of Pataskala D. Michael Rings, DVM, M.S., DACVIM Candice Hoerner, CVT, VTS-Dentsitry Thomas Wittum, M.S., Ph.D. The Ohio State University Columbus, Ohio Big Sky Veterinary Dentistry Education Columbia Falls, Mont. Craig Sarver, DVM, M.S. Saralyn Sharp, RVT, AVTCP (Canine/ Feline) The Ohio State University Columbus, Ohio shelter animal Jennifer Brandt, Ph.D., LISW-S The Ohio State University College of Veterinary Medicine Columbus, Ohio Nellie Goetz, DVM The Humane Alliance of WNC Asheville, N.C. John Gordon, DVM, DACVD MedVet Associates Worthington, Ohio Sharon Harvey, M.A. Cleveland Animal Protective League Cleveland, Ohio Michelle Holdgreve Ohio Veterinary Medical Association Powell, Ohio Charlotte Lacroix, DVM, J.D. Veterinary Business Advisors, Inc. Whitehouse Station, N.J. William Mangham, DVM The Humane Society of the United States Rutledge, Ga. Ohio Department of Agriculture, Division of Animal Health Reynoldsburg, Ohio Mary Smith, DVM Cornell University College of Veterinary Medicine Ithaca, N.Y. Pamela Walker, DVM, M.S., DACVIM Camelid Care Veterinary Services Grove City, Ohio Martha Smith-Blackmore, DVM Animal Rescue League of Boston Boston, Mass. Rachel Thompson The Humane Society of the United States Gaithersburg, Md. Katy Waddell, LVT, VTS (ECC, Anesthesia) Texas A&M University College of Veterinary Medicine College Station, Texas Kenichiro Yagi, B.S., RVT, VTS (ECC, SAIM) Adobe Animal Hospital Los Altos, Calif. staff Development Louise Dunn Snowgoose Veterinary Management Consultants Pfafftown, N.C. Eric Garcia Simply Done Tech Solutions Lutz, Fla. Karyn Gavzer, MBA, CVPM KG Marketing & Training, Inc. Springboro, Ohio Philip Seibert, CVT Safety Vet Calhoun, Tenn. Laurie Millward, DVM, M.S. North Royalton Animal Hospital North Royalton, Ohio Purdue University Veterinary Teaching Hospital West Lafayette, Ind. hands-on labs Rick Alleman, DVM, Ph.D., DABVP, DACVP Lighthouse Veterinary Consultants Alachua, Hawaii Louise Dunn Snowgoose Veterinary Management Consultants Pfafftown, N.C. Jonathan Dyce, M.A., VetMB, MRCVS, DSAO, DACVS The Ohio State University Columbus, Ohio Eric Garcia technician Simply Done Tech Solutions Lutz, Fla. Heidi Lobprise, DVM, DAVDC Lighthouse Veterinary Consultants Alachua, Hawaii Main Street Veterinary Hospital Flower Mound, Texas Affiliation: Zoetis Ric Berlinski, DVM Kenichiro Yagi, B.S., RVT, VTS (ECC, SAIM) Rick Alleman, DVM, Ph.D., DABVP, DACVP The Toledo Zoo Toledo, Ohio Adobe Animal Hospital Los Altos, Calif. . 63 . registration FAQs • FEES & DEADLINES • What do registration fees include? •All sessions on day(s) attending, except labs •Conference Proceedings (online & CD) •Exhibit Hall entry on day(s) attending (except Sunday) •MVC Sunday Lunch (if attending on Sunday) What are the registration deadlines? •Jan. 6, 2015 – Early bird discounts end. •Feb. 5, 2015 – Pre-registration deadline. After this date, please register on site. • GROUP REGISTRATION • Am I able to register multiple people from our clinic at the same time? Yes. If you are registering multiple DVMs by fax or by mail, please make a copy of the registration form on the next page (or download a PDF from www.mvcinfo.org) and complete a separate form for each individual. If you are registering multiple non-DVM staff, use the form beginning on page 67. You may also register multiple individuals online. Follow the prompts to add as many veterinarians, technicians and/or staff as needed. Detailed instructions can be found on the MVC Web site at www.mvcinfo.org/registration. Another option to register multiple individuals is to purchase a Hospital Staff Pass. (See below.) • HOSPITAL STAFF PASSES • Who can use a Hospital Staff Pass? Any member of a hospital staff, excluding veterinarians and technicians, may use the Pass. How does a Hospital Staff Pass work? Each Pass includes four tickets, color coded by day, which can be used by any eligible staff member on any day of the MVC (e.g., one staff member per day; one staff member in the morning and another in the afternoon on each day; or four staff members on one day; etc.). Each individual should bring that day’s ticket to the Attendee Assistance booth after arriving on site to receive a badge, which can be traded among attendees throughout the day. However, because the Passes are color coded by day (for verification purposes), the badge is only good for one day; a new badge must be picked up each day of attendance. How can I purchase Hospital Staff Passes? Use page 4 of the the technician and staff registration form (pp. 67–70) to select the number of Passes you wish to purchase and the number of tickets you would like for each day. Do I need to provide names of the staff members who will be attending? Yes, we ask that you provide a list of attendees so we may verify that the individuals who show up on site are authorized to attend. If you do not know who will be attending, please list all staff members who could potentially attend. This list can be modified later by logging into your online account or by contacting the OVMA at info@mvcinfo.org with your changes. . 64 . Do Hospital Staff Passes include CE verification? The OVMA does not provide CE certificates for hospital staff, as it is not required by law. 2015 REGISTRATION FEES Early Bird (Thru 1.6.15) Advance (1.7–2.5.15) On Site DVM – OVMA Member or Out of State One Day $155 online | $165 mail/fax $185 online | $205 mail/fax $225 Full MVC $260 online | $275 mail/fax $305 online | $320 mail/fax $350 DVM – OVMA Life Member1 One Day $95 online | $100 mail/fax $105 online | $110 mail/fax $120 Full MVC $140 online | $145 mail/fax $160 online | $165 mail/fax $180 One Day $330 online | $340 mail/fax $360 online | $380 mail/fax $400 Full MVC $435 online | $450 mail/fax $480 online | $495 mail/fax $525 DVM – Non-Member in Ohio DVM – Resident/Intern Technicians Hospital Staff Member $75 online | $85 mail/fax $85 online | $95 mail/fax $95 Non-Mbr $125 online | $135 mail/fax $135 online | $145 mail/fax $145 One Day $1oo online | $110 mail/fax $120 online | $130 mail/fax $140 Full MVC $150 online | $160 mail/fax $170 online | $180 mail/fax $195 One Day $1oo online | $110 mail/fax $120 online | $130 mail/fax $140 Full MVC $150 online | $160 mail/fax $170 online | $180 mail/fax $195 $335 Hospital Staff Pass $280 online | $290 mail/fax $300 online | $310 mail/fax Member3 $0 online $0 online $0 Non-Mbr $20 online $20 online $20 $20 online $20 online $20 One Day $75 online/mail/fax $75 online/mail/fax $95 Full MVC $100 online/mail/fax $100 online/mail/fax $120 2 Veterinary/Technician Students Pre-Vet Students4 Spouses & Guests5 1. Board approved | 2. Non-DVM, non-technician ONLY | 3. Member of OVMA (vet students) or SCNAVTA (tech students) | 4. Not attending the Veterinary Exploration Conference | 5. Non-veterinary professionals ONLY • CONTINUING EDUCATION • How many hours of CE can I obtain at the MVC? You can earn 24 hours of CE if you elect to attend the full Conference and attend a session during each time slot on all four days. registrant is provided) and postal mail. Should I include every session I plan to attend when registering? Yes. This helps the OVMA determine room assignments based on the capacity of each session, and it allows us to keep a record of your CE should you need it for a future audit. If you change your mind after registering, you will be able to edit your selections online. What if I forget to bring my badge to the MVC? You may request new materials when you arrive on site by visiting the Attendee Assistance booth. However, please be aware that there is a $10 replacement fee for lost name badges. How can I register for hands-on labs? The registration form includes a section where you may select which of these programs you would like to attend. Please note that participation in these programs may be limited and is awarded on a first-come, first-serve basis. May technicians and staff attend DVM wet labs? Due to limited capacities and specialized content, these programs are restricted to veterinarians. Will I be able to access and print notes for my sessions prior to the Conference? Yes. Instructions for accessing the Conference Proceedings online will be included in your confirmation. Please print your notes before arriving, as there will be no printing stations on site. If you would like a CD-ROM of the notes, you may pick one up when you arrive on site. • CONFIRMATION • When will I get my confirmation and name badge? Confirmation packets will be mailed to preregistered attendees the week of Feb. 2, 2015. I registered multiple people from our office. How will we receive confirmation? Each person will receive an individual confirmation by e-mail (if a unique e-mail address for each I registered by Feb. 5 but did not get my confirmation packet. What should I do? Please visit the Attendee Assistance booth when you arrive on site at the Conference. • CHANGE, TRANSFER & CANCEL • How can I make changes to my registration? Refer to your confirmation e-mail for instructions on how to log in and modify your registration, or contact OVMA at info@mvcinfo.org with the changes you wish to make. Detailed information on modifying your registration can be found online at www.mvcinfo.org/FAQs. What if I have to cancel my registration? If personal or professional circumstances prevent you from attending the Conference, the OVMA will refund your registration fees less a $50 administrative fee, provided that a written refund request is received by mail, fax or e-mail by 6 p.m. EST on March 14, 2015. No refunds will be granted after this date. Handson labs are non-refundable. Refunds will not be processed until March 15, 2015. Can a registration be transferred? If you are no longer able to attend, your registration may be transferred to another person on your staff. Contact OVMA at info@mvcinfo.org prior to Feb. 5, or bring the original badge and registration materials to the on-site registration desk to receive a new name badge. More questions? Find additional FAQs online at www.mvcinfo.org/FAQs or contact OVMA at info@mvcinfo.org. registration form: veterinarians attendee Savetoup$15! Information Please print or type your name exactly as it should appear on your badge. One form per veterinarian. Register online at www.mvcinfo.org Name ____________________________________________________________________________________________________________________ Company_________________________________________________________________________________________________________________ Preferred Address* Home Work_______________________________________________________________________________________ *This is where we will send your confirmation packet. City_________________________________________________________________________________ State________________ ZIP_____________ Email*___________________________________________Phone_______________________________ Fax__________________________________ *Required for email confirmation once registration is processed. Check here if you DO NOT wish to include your email address in your electronic badge for use in the Exhibit Hall. You will still receive emails from the MVC; you may unsubscribe at any time. Spouse/Guest Name (if attending)___________________________________________________________________________________________ If you need special accommodations in order to fully participate, please list them here. __________________________________________ _________________________________________________________________________________________________________________________ member Dues If you are an OVMA Member, you can renew your membership for 2015 now, or if you are not yet an OVMA Member, join today and save on your MVC registration! More information on OVMA Membership can be found online at www.ohiovma.org/membership. Active Member: $175 Associate Member: $60 Sustaining Member: $60 Recent Grad: $120 Post-Graduate Resident/Intern: $50 (practicing in Ohio) (out of state) (retired/disability) (Graduated in 2013 or 2014) Auxiliary Member: $25 Life Member: No Charge* (Board Approved) *Life Members must: (1) have been an OVMA Active Member in good standing for 30 or more years, which need not be consecutive; and, (2) either have retired from the practice of veterinary medicine or reached 70 years of age. See www.ohiovma.org/membership for full details on approval process. Payments and dues paid to the OVMA are not deductible for federal tax purposes as charitable contributions. They may be deductible as an ordinary and necessary business expense, except that portion of dues payments related to representation on legislative issues. The OVMA estimates the portion attributable to legislative advocacy in 2015 to be 20%. registration Category One Day Full Conference Please select day attending: Thur 2.19 Fri 2.20 Sat 2.21 Sun 2.22 OVMA Members OVMA Members Early Bird: Advance: Through Jan. 6 Jan. 7 – Feb. 5 Regular Veterinarian.............................$165..............................................$205 Post-Grad Resident/Intern.................. $85................................................ $95 Life Member...............................................$100.............................................. $110 Non-Member in Ohio Regular Veterinarian..............................$340............................................. $380 Post-Grad Resident/Intern..................$135.............................................. $145 Out-of-State DVM Regular Veterinarian...............................$165.............................................$205 Post-Grad Resident/Intern....................$85............................................... $95 Spouse/Guest: Non-Veterinary Professionals ONLY Early Bird: Advance: Through Jan. 6 Jan. 7 – Feb. 5 Regular Veterinarian..............................$275.............................................$320 Post-Grad Resident/Intern................... $85............................................... $95 Life Member................................................$145............................................. $165 Non-Member in Ohio Regular Veterinarian.............................$450............................................... $495 Post-Grad Resident/Intern.................$135............................................... $145 Out-of-State DVM Regular Veterinarian..............................$275................................................ $320 Post-Grad Resident/Intern................... $85.................................................. $95 Spouse/Guest: Non-Veterinary Professionals ONLY Spouse/Guest Attendee........................ $100.............................................. $100 Spouse/Guest Attendee..........................$75................................................$75 *Prices listed above are for fax/postal mail registrations. Register online for discounted rates. See chart on previous page for listing of online, as well as on-site, registration fees. emergency contact (optional) Name______________________________________________________________ Relationship____________________________________________ Primary Phone_______________________________________________________ Alternate Contact*_____________________________________ *Such as a second phone number, pager or email address (if checked often). Continued >> . 65 . DVM Reg – p. 2 Attendee Name (Please fill out if faxing) ______________________________________________________________________________________ session Selection Although selecting the sessions you plan to attend is not required, it is strongly encouraged. Selecting your sessions allows OVMA to keep an attendance record should you need it for audit purposes; it also helps us assign rooms based on attendance numbers. You may edit your selections at a later date should you change your mind. Thurs 2.19________________________________________________ Fri 2.20_________________________________________________________ Sat 2.21__________________________________________________ Sun 2.22_________________________________________________________ additional Events Please select any hands-on labs and/or special events you would like to attend. Hands-On Labs Lab A: Performing the Complete Hematologic Analysis In-House ($95) Lab B: The Complete Client Experience ($95) Lab C: External Skeletal Fixation ($400) Lab D: Dental Extractions ($295) Check here if you have a latex allergy. Special Events OVMA Auxiliary Lunch – Member (N/C) OVMA Auxiliary Lunch – Guest Other Activities Friday Zumba (N/C) Saturday Zumba (N/C) Qty:___________ x $25/each charitable contributions (optional) YES! I would like to make a donation of $__________ to the Ohio Animal Health Foundation to help support animal welfare programs and research. (Learn more about OAHF on page 3 or online at www.oahf.org.) YES! I would like to donate an additional $_________ to 5 for 5 for the Future to support veterinary and technician student scholarships. (Learn more about this program on page 3.) payment Visa Information Mastercard Discover Check #_____________made payable to OVMA Card Number________________________________________________________________________________ Expiration Date_______________ Card Holder Name___________________________________________________________________________ CVV__________________________ Billing Address: If different from address provided on previous page, please provide the billing address exactly as it appears on your statement. Company_________________________________________________________________________________________________________________ Address__________________________________________________________________________________________________________________ City_________________________________________________________________________ State__________________ ZIP___________________ Total From Side 1: $_________________________ Total From Side 2: $______________________ Grand Total Due: $______________________ Cardholder Signature:______________________________________________________________________________________________________ Cancellation Policy. If personal or professional circumstances prevent you from attending the Conference, the OVMA will refund your Conference registration fees, less a $50 administrative fee. A written refund request must be received by 6 p.m. EST on March 14, 2015. No refunds can be granted after this date. No refunds can be granted for hands-on labs, workshops or meal functions. Written refund requests may be delivered to the OVMA via mail, fax or e-mail. Privacy Disclosure. The OVMA will not release your contact information to non-exhibiting companies. Please be aware that the contact information you provide will be encoded into your attendee badge and may be obtained by Exhibitors. Consent to be Photographed. By registering for the Conference, you grant permission for your photograph to be taken and used in future marketing materials. Hands-On Lab Policy. By registering for a Hands-On Lab, Registrant acknowledges and agrees that some labs involve working with live animals, cadavers, specimens, equipment and other unique learning materials which may expose the Registrant to a risk of injury or disease in the same manner as a veterinary professional would be exposed to these risks in carrying out the same or similar procedures in a clinical setting. The Registrant, by registering for these Hands-On Labs and completing this Registration Form, agrees to assume this risk and hereby waives and releases the OVMA and any faculty or other participants from any and all damage or injury arising out of or related to Registrant’s participation in the Hands-On Labs. Send completed registration form by one of the following methods: Mail: OVMA, 1472 Manning Pkwy., Powell OH 43065 • Fax: 614.436.1301 • Register online at www.mvcinfo.org Deadline to pre-register for the Midwest Veterinary Conference is Feb. 5, 2015. After this date, please register on site. . 66 . registration form: company technicians, staff, other professionals, group registration & hospital staff passes $10 Save per person Register online at www.mvcinfo.org Information Company_____________________________________________________Main Contact Person__________________________________________ Address__________________________________________________________________________________________________________________ City_________________________________________________________________________________ State________________ ZIP_____________ Phone________________________________________________________ Fax_________________________________________________________ attendee Information Attendee #1: Name (as it should appear on badge)_____________________________________________________________________________ Individual Type Technician Practice Manager Hospital Staff Shelter Staff Other______________________________________ Preferred Address* Home Work________________________________________________________________________________________ *This is where we will send your confirmation packet. If left blank, packet will be sent to company address above. City_________________________________________________________________________________ State_________________ZIP______________ Email*______________________________________________________________________________ *Required for email confirmation. Each registrant will receive an individual confirmation. Check here if you DO NOT wish to include your email address in your electronic badge for use in the Exhibit Hall. You will still receive emails from the MVC. Special Accommodations (if applicable) _____________________________________________________________________________________ Emergency Contact Name & Number________________________________________________________________________________________ Registration Type One Day: $110 (thru Jan. 6) Please select day attending: Thurs 2.19 Sat 2.21 $130 (Jan. 7–Feb. 5) Fri 2.20 Full Conference: $160 (thru Jan. 6) $180 (Jan. 7–Feb. 5) Sun 2.22 Spouse/Guest Name* (if attending)_______________________________________________________________________ *Non-Veterinary Professional ONLY One Day: $75 Full Conference: $100 Please denote the sessions, hands-on labs and/or additional programs you wish to attend. (Refer to pp. 10–23 for session numbers.) Thurs 2.19____________________________________________________________ Fri 2.20_____________________________________________________________ Sat 2.21______________________________________________________________ Sun 2.22____________________________________________________________ Lab A ($95) Lab B ($95) Lab E ($495) Latex Allergy (if signing up for labs) Fri. Zumba (N/C) Sat. Zumba (N/C) Attendee #2: Name (as it should appear on badge)_____________________________________________________________________________ Individual Type Technician Practice Manager Hospital Staff Shelter Staff Other______________________________________ Preferred Address* Home Work________________________________________________________________________________________ *This is where we will send your confirmation packet. If left blank, packet will be sent to company address above. City_________________________________________________________________________________ State_________________ZIP______________ Email*______________________________________________________________________________ *Required for email confirmation. Each registrant will receive an individual confirmation. Check here if you DO NOT wish to include your email address in your electronic badge for use in the Exhibit Hall. You will still receive emails from the MVC. Special Accommodations (if applicable) _____________________________________________________________________________________ Emergency Contact Name & Number________________________________________________________________________________________ Registration Type One Day: $110 (thru Jan. 6) Please select day attending: Thurs 2.19 Sat 2.21 $130 (Jan. 7–Feb. 5) Fri 2.20 Full Conference: $160 (thru Jan. 6) $180 (Jan. 7–Feb. 5) Sun 2.22 Spouse/Guest Name* (if attending)_______________________________________________________________________ *Non-Veterinary Professional ONLY One Day: $75 Full Conference: $100 Please denote the sessions, hands-on labs and/or additional programs you wish to attend. (Refer to pp. 10–23 for session numbers.) Thurs 2.19____________________________________________________________ Fri 2.20_____________________________________________________________ Sat 2.21______________________________________________________________ Sun 2.22____________________________________________________________ Lab A ($95) Lab B ($95) Lab E ($495) Latex Allergy (if signing up for labs) Fri. Zumba (N/C) Sat. Zumba (N/C) Page 1 total: $________________ . 67 . Staff Reg – p. 2 Company Name (Please fill out if faxing) _____________________________________________________________________________________ There is no need to fax this page if no additional attendees are listed; please skip to page 4 of this form to complete payment information. Attendee #3: Name (as it should appear on badge)_____________________________________________________________________________ Individual Type Technician Practice Manager Hospital Staff Shelter Staff Other______________________________________ Preferred Address* Home Work________________________________________________________________________________________ *This is where we will send your confirmation packet. If left blank, packet will be sent to company address above. City_________________________________________________________________________________ State_________________ZIP______________ Email*______________________________________________________________________________ *Required for email confirmation. Each registrant will receive an individual confirmation. Check here if you DO NOT wish to include your email address in your electronic badge for use in the Exhibit Hall. You will still receive emails from the MVC. Special Accommodations (if applicable) _____________________________________________________________________________________ Emergency Contact Name & Number________________________________________________________________________________________ Registration Type One Day: $110 (thru Jan. 6) Please select day attending: Thurs 2.19 Sat 2.21 $130 (Jan. 7–Feb. 5) Fri 2.20 Full Conference: $160 (thru Jan. 6) $180 (Jan. 7–Feb. 5) Sun 2.22 Spouse/Guest Name* (if attending)_______________________________________________________________________ *Non-Veterinary Professional ONLY One Day: $75 Full Conference: $100 Please denote the sessions, hands-on labs and/or additional programs you wish to attend. (Refer to pp. 10–23 for session numbers.) Thurs 2.19____________________________________________________________ Fri 2.20_____________________________________________________________ Sat 2.21______________________________________________________________ Sun 2.22____________________________________________________________ Lab A ($95) Lab B ($95) Lab E ($495) Latex Allergy (if signing up for labs) Fri. Zumba (N/C) Sat. Zumba (N/C) Attendee #4: Name (as it should appear on badge)_____________________________________________________________________________ Individual Type Technician Practice Manager Hospital Staff Shelter Staff Other______________________________________ Preferred Address* Home Work________________________________________________________________________________________ *This is where we will send your confirmation packet. If left blank, packet will be sent to company address above. City_________________________________________________________________________________ State_________________ZIP______________ Email*______________________________________________________________________________ *Required for email confirmation. Each registrant will receive an individual confirmation. Check here if you DO NOT wish to include your email address in your electronic badge for use in the Exhibit Hall. You will still receive emails from the MVC. Special Accommodations (if applicable) _____________________________________________________________________________________ Emergency Contact Name & Number________________________________________________________________________________________ Registration Type One Day: $110 (thru Jan. 6) Please select day attending: Thurs 2.19 Sat 2.21 $130 (Jan. 7–Feb. 5) Fri 2.20 Full Conference: $160 (thru Jan. 6) $180 (Jan. 7–Feb. 5) Sun 2.22 Spouse/Guest Name* (if attending)_______________________________________________________________________ *Non-Veterinary Professional ONLY One Day: $75 Full Conference: $100 Please denote the sessions, hands-on labs and/or additional programs you wish to attend. (Refer to pp. 10–23 for session numbers.) Thurs 2.19____________________________________________________________ Fri 2.20_____________________________________________________________ Sat 2.21______________________________________________________________ Sun 2.22____________________________________________________________ Lab A ($95) Lab B ($95) Lab E ($495) Latex Allergy (if signing up for labs) Fri. Zumba (N/C) Sat. Zumba (N/C) Page 2 total: $________________ . 68 . Staff Reg – p. 3 Company Name (Please fill out if faxing) _____________________________________________________________________________________ There is no need to fax this page if no additional attendees are listed; please skip to page 4 of this form to complete payment information. Attendee #5: Name (as it should appear on badge)_____________________________________________________________________________ Individual Type Technician Practice Manager Hospital Staff Shelter Staff Other______________________________________ Preferred Address* Home Work________________________________________________________________________________________ *This is where we will send your confirmation packet. If left blank, packet will be sent to company address above. City_________________________________________________________________________________ State_________________ZIP______________ Email*______________________________________________________________________________ *Required for email confirmation. Each registrant will receive an individual confirmation. Check here if you DO NOT wish to include your email address in your electronic badge for use in the Exhibit Hall. You will still receive emails from the MVC. Special Accommodations (if applicable) _____________________________________________________________________________________ Emergency Contact Name & Number________________________________________________________________________________________ Registration Type One Day: $110 (thru Jan. 6) Please select day attending: Thurs 2.19 Sat 2.21 $130 (Jan. 7–Feb. 5) Fri 2.20 Full Conference: $160 (thru Jan. 6) $180 (Jan. 7–Feb. 5) Sun 2.22 Spouse/Guest Name* (if attending)_______________________________________________________________________ *Non-Veterinary Professional ONLY One Day: $75 Full Conference: $100 Please denote the sessions, hands-on labs and/or additional programs you wish to attend. (Refer to pp. 10–23 for session numbers.) Thurs 2.19____________________________________________________________ Fri 2.20_____________________________________________________________ Sat 2.21______________________________________________________________ Sun 2.22____________________________________________________________ Lab A ($95) Lab B ($95) Lab E ($495) Latex Allergy (if signing up for labs) Fri. Zumba (N/C) Sat. Zumba (N/C) Attendee #6: Name (as it should appear on badge)_____________________________________________________________________________ Individual Type Technician Practice Manager Hospital Staff Shelter Staff Other______________________________________ Preferred Address* Home Work________________________________________________________________________________________ *This is where we will send your confirmation packet. If left blank, packet will be sent to company address above. City_________________________________________________________________________________ State_________________ZIP______________ Email*______________________________________________________________________________ *Required for email confirmation. Each registrant will receive an individual confirmation. Check here if you DO NOT wish to include your email address in your electronic badge for use in the Exhibit Hall. You will still receive emails from the MVC. Special Accommodations (if applicable) _____________________________________________________________________________________ Emergency Contact Name & Number________________________________________________________________________________________ Registration Type One Day: $110 (thru Jan. 6) Please select day attending: Thurs 2.19 Sat 2.21 $130 (Jan. 7–Feb. 5) Fri 2.20 Full Conference: $160 (thru Jan. 6) $180 (Jan. 7–Feb. 5) Sun 2.22 Spouse/Guest Name* (if attending)_______________________________________________________________________ *Non-Veterinary Professional ONLY One Day: $75 Full Conference: $100 Please denote the sessions, hands-on labs and/or additional programs you wish to attend. (Refer to pp. 10–23 for session numbers.) Thurs 2.19____________________________________________________________ Fri 2.20_____________________________________________________________ Sat 2.21______________________________________________________________ Sun 2.22____________________________________________________________ Lab A ($95) Lab B ($95) Lab E ($495) Latex Allergy (if signing up for labs) Fri. Zumba (N/C) Sat. Zumba (N/C) Page 3 total: $________________ . 69 . Staff Reg – p. 4 Company Name (Please fill out if faxing) _____________________________________________________________________________________ hospital staff Passes A Hospital Staff Pass may be used by the staff of a veterinary facility (excluding veterinarians and technicians). The Pass is transferrable among individuals throughout the Conference, but only one person may use the Pass at a time. For each Pass purchased, four tickets (color coded by day) are included. Each day, the staff member(s) attending turn in that day’s ticket(s) to obtain a badge, good for entry in all concurrent sessions and the Exhibit Hall (except on Sunday). For more information on how Hospital Staff Passes work, please see page 64 or visit www.mvcinfo.org/FAQs. Number of Hospital Staff Passes (Tickets) Purchasing 1 Pass (4 tickets): $290 (thru Jan. 6) $310 (Jan. 7–Feb. 5) 2 Passes (8 tickets): $580 (thru Jan. 6) 4 Passes (16 tickets): $1160 (thru Jan. 6) $1240 (Jan. 7–Feb. 5) $620 (Jan. 7–Feb. 5) 3 Passes (12 tickets): $870 (thru Jan. 6) $900 (Jan. 7–Feb. 5) 5 Passes (20 tickets): $1440 (thru Jan. 6) $1550 (Jan. 7–Feb. 5) Please denote the number of tickets needed per day to total the number of tickets indicated (in parentheses) in your selection above. If you leave this section blank, you will receive one ticket per day per Pass. Thurs 2.19___________ + Fri 2.20_____________ + Sat 2.21_____________ + Sun 2.22____________ = _______________ Please list the names of the staff members who will be attending under the Hospital Staff Pass(es). You may edit this list later if needed. ___________________________________________________________ ____________________________________________________________ ___________________________________________________________ ____________________________________________________________ ___________________________________________________________ ____________________________________________________________ ___________________________________________________________ ____________________________________________________________ ___________________________________________________________ ____________________________________________________________ ___________________________________________________________ ____________________________________________________________ ___________________________________________________________ ____________________________________________________________ ___________________________________________________________ ____________________________________________________________ payment Visa Information Mastercard Discover Check #_____________made payable to OVMA Card Number________________________________________________________________________________ Expiration Date_______________ Card Holder Name___________________________________________________________________________ CVV_________________________ Total From Page 1: $__________ Total From Page 2: $___________ Total From Page 3: $_____________ GRAND TOTAL: $_______________ Cardholder Signature______________________________________________________________________________________________________ Cancellation Policy. If personal or professional circumstances prevent you from attending the Conference, the OVMA will refund your Conference registration fees, less a $50 administrative fee. A written refund request must be received by 6 p.m. EST on March 14, 2015. No refunds can be granted after this date. No refunds can be granted for hands-on labs, workshops or meal functions. Written refund requests may be delivered to the OVMA via mail, fax or e-mail. Privacy Disclosure. The OVMA will not release your contact information to non-exhibiting companies. Please be aware that the contact information you provide will be encoded into your attendee badge and may be obtained by Exhibitors. Consent to be Photographed. By registering for the Conference, you grant permission for your photograph to be taken and used in future marketing materials. Hands-On Lab Policy. By registering for a Hands-On Lab, Registrant acknowledges and agrees that some labs involve working with live animals, cadavers, specimens, equipment and other unique learning materials which may expose the Registrant to a risk of injury or disease in the same manner as a veterinary professional would be exposed to these risks in carrying out the same or similar procedures in a clinical setting. The Registrant, by registering for these Hands-On Labs and completing this Registration Form, agrees to assume this risk and hereby waives and releases the OVMA and any faculty or other participants from any and all damage or injury arising out of or related to Registrant’s participation in the Hands-On Labs. Send all pages of completed registration form by one of the following methods: Mail: OVMA, 1472 Manning Pkwy., Powell OH 43065 • Fax: 614.436.1301 • Or, register online at www.mvcinfo.org Deadline to pre-register for the Midwest Veterinary Conference is Feb. 5, 2015. After this date, please register on site. . 70 . ATTENDEE FAQs 2015 HOTEL ROOM BLOCKS Address Rates1 Reservations2 Group Code Block Close3 Hyatt Regency (headquarters hotel) 350 N. High St. Columbus, OH 43215 Single: $158 • Double: $168 Triple: $178 • Quad: $188 888.421.1442 Ohio Veterinary Medical Association Jan. 28, 2015 Crowne Plaza Hotel (connected to Greater Columbus Convention Center) 33 E. Nationwide Blvd. Columbus, OH 43215 Single: $160 • Double: $170 Triple: $180 • Quad: $190 800.338.4462 OVMA Midwest Veterinary Conference Jan. 25, 2015 Drury Inn & Suites (connected to GCCC) 88 E. Nationwide Blvd. Columbus, OH 43215 Single/Double: $134 (std), $154 (suite) Triple/Quad: $144 (std), $164 (suite) 800.325.0720 2192980 Jan. 29, 2015 Hampton Inn & Suites (across from GCCC) 501 N. High St. Columbus, OH 43215 Double: $132 King: $132 800.426.7866 OVM Jan. 18, 2015 Red Roof Inn – Convention Center (one block from Hyatt) 111 E. Nationwide Blvd. Columbus, OH 43215 Double: $113 King: $113 800.733.7663 OVMA2015 Jan. 28, 2015 Hilton Columbus Downtown (connected to GCCC) 401 N. High St. Columbus, OH 43215 Single: $157 • Double: $167 Triple: $177 • Quad: $187 800.445.8667 OVMA15 Jan. 16, 2015 Holiday Inn Express & Suites OSU (6 miles/10 minutes to GCCC) 3045 Olentangy River Rd. Two Queens or One King: $134.99 Columbus, OH 43202 614.447.1212 OVMA Jan. 18, 2015 1. Rates do not include current tax of 17.5% | 2. Book online at www.mvcinfo.org/travel | 3. Or until sold out • GENERAL INFORMATION • Where does the MVC take place? The MVC is held at the Greater Columbus Convention Center, Hall C (400 N. High St., Columbus, Ohio 43215) and the Hyatt Regency Hotel (350 N. High St.). Who can register for a spouse/guest badge? A spouse, companion, relative, friend or child age 16 or older who is not an animal care professional may attend as a guest of a registered attendee. Please note that CE credit confirmation cannot be issued for this type of registration. Who is eligible to attend the MVC? The OVMA welcomes individuals working in all areas of animal care, including veterinarians; technicians; hospital staff; shelter personnel; post-graduate residents and interns; and pre-vet, veterinary, and technician students. I am a veterinarian in Ohio, but I am not an OVMA member. Can I attend? Non-member veterinarians in Ohio are most welcome to attend, but please note that your registration fee will be higher than that of OVMA members. If you would like to receive the member price, we invite you to join the OVMA by filling out the “Member Dues” section on the registration form. Learn more about joining online at www.ohiovma. org/membership. Merial, the maker of is a Proud Supporter of the Midwest Vet Conference! NexGard and FRONTLINE VET LABS are trademarks of Merial. ©2014 Merial Limited, Duluth, GA. All rights reserved. NEX14SPONSORSHIPAD (05/14). TM Are there hotels available for out-of-towners? See the chart above or visit www.mvcinfo.org/ travel for hotel room blocks, rates and other travel information. What should I wear? Attire for the MVC is business casual. You may wish to dress in layers, as Convention Center and hotel meeting rooms can be cool. What should I bring? Be sure to bring your session notes (if you prefer to have a hard copy); confirmation materials (there is a $10 replacement fee for lost badges); and a notebook, laptop or tablet for extra note-taking. Can I bring my pets? Convention Center regulations and health codes prohibit pets. In keeping with the law, only assistance dogs are permitted. • EXHIBIT HALL • Can I purchase a pass just for the Exhibit Hall? Yes. Exhibit Hall-only passes are available for purchase on site; the cost is $20 per person for a one-day pass or $40 for a three-day pass. Children under 18 are admitted at no charge, but they must obtain a badge upon arrival and be accompanied by a guardian at all times. What personal information do Exhibitors receive? All attendee badges will be encoded with their name, address, phone and fax numbers, organization, and e-mail address. Exhibitors obtain this information when they scan your badge in the Exhibit Hall. Should you prefer not to share your e-mail with vendors, please check the appropriate box on the registration form, and it will be excluded. • VOLUNTEER OPPORTUNITIES • Are there any volunteer opportunities offered to Conference attendees? Yes. The MVC staff needs volunteers to serve as Session Presiders for each session offered at the Conference. Any registered attendee may volunteer as a Presider. In addition, OVMA members are invited to volunteer as short-term “mentors” at the Connection Corner event on Friday. What does a Session Presider do? Session Presiders introduce the speakers of their selected sessions using an introduction prepared by the MVC staff and, in the event of a problem, assist in locating appropriate staff to resolve A/V equipment or room issues. Where can I learn more and sign up to volunteer? Visit www.mvcinfo.org/volunteer beginning on Dec. 1 to select the sessions you would like to preside over or to sign up for Connection Corner. More questions? Find additional FAQs online at www.mvcinfo.org/FAQs or contact OVMA at info@mvcinfo.org. . 71 . PRESORT STD US POSTAGE PAID COLUMBUS OHIO PERMIT NO 1993 Ohio Veterinary Medical Association Midwest Veterinary Conference 1472 Manning Parkway Powell, Ohio 43065 A /MVCinfo S @MVCinfo H www.mvcinfo.org info@mvcinfo.org
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