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2015 S.E. Eye Annual
Regional Meeting
July 23-25, 2015
SouthEast Eye Regional Meeting
Alabama | Louisiana | Mississippi | Tennessee
Don’t Miss This! Register Today!
www.regonline.com/SEEye2015
Sandestin Golf & Beach Resort
Destin, Florida
1st Floor Baytowne Conference Center
New Welcome Center
*Important Note*
All guests should check-in at the new Sandestin Welcome Center
Located at the N.E. corner of Highway 98 and Sandestin Boulevard
(At the main North Gate entrance to the resort)
Co-Sponsored by the: Alabama, Louisiana, Mississippi,
and Tennessee Academies of Ophthalmology
EVERY SESSION PACKED WITH THE LATEST O
Featuring:
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In-Depth ICD-10 Coding Updates from National AAO Experts
Nationally Recognized Speakers
Legislative Advocacy and Political Updates
Video Pearls
Educational Session Formats
Panel Debates and Discussion]
Extensive Audience Participation
OMIC Loss Prevention Seminar
This activity has been approved for AMA PRA Category 1 Credit™, JCAHOP Credits, and COE
Administrator Category A Credits (*Credit hours were not available at the time of printing.)
Our Program Offers a Wide Variety of Topics for
Ophthalmologists:
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Ocular Oncology
Anterior Segment
Refractive Cataract Surgery
Cornea and External Disease
Vitreoretinal Diseases and Surgery
Ocular Inflammation
Glaucoma
Pediatric and Neuro-Ophthalmology
Adult Strabismus
American Academy of Ophthalmology-National Updates
Anti-Trust and Legal Administrative Issues
Technicians-Administrators--This is for you!
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Latest ICD-10 Coding Updates from AAO Coding Experts
OMIC Practice Safeguards
Audits
Effective Human Resources
Staff Motivation
Administrative Legal Issues
OPHTHALMIC INFORMATION & TECHNOLOGY
2015 Program Committee:
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Priscilla Fowler, M.D., Chairperson
Becky Taylor, M.D., Co-Chairperson
Sandy Owings, COA, CCRP, Technicians Chairperson
Susie Wing, COT, Technician Co-Chairperson
Thomas Brown, Esq., Admin. Chairperson
Mike Merrill, Esq., Meeting Coordinator
Sue C. Chasteen, CME Chairperson
*Full faculty disclosure information will be provided in the activity materials.*
S.E. Eye 2015 will make every effort to post, in advance of the meeting, speaker presentations received
at www.regonline.com/SEEye2015. Note: S.E. Eye 2015 can only post those presentations received in
advance and approved for posting by each speaker.
Accreditation Information:
This activity has been approved for AMA PRA Category 1™ Credit, JCAHPO Credit, and
COE Administrator Category A Credit.
*Credit hours were not available at the time of printing*
S.E. EYE 2015 Guest Faculty:
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Janet Betchkal, M.D.
Daniel Briceland, M.D.
Jane Edmonds, M.D.
Brian Jerkins, M.D.
• Russell N. Van Gelder, M.D.,
Ph.D (AAO President)
• Jack Mooresmith, Esq
• Christopher Rapuano, M.D.
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Sara Rapuano
Carol Shields, M.D.
Jerry Shields, M.D.
Sue Vicchrilli, COT, OCS
Location:
*IMP. NOTE: ALL GUESTS SHOULD CHECK IN AT THE NEW SANDESTIN WELCOME
CENTER AT THE MAIN NORTH GATE ENTRANCE TO THE RESORT*
Grand Sandestin Hotel & 1st Floor of the Baytowne Conference Center
9300 Emerald Coast Parkway East
Destin, FL 32550-7268
Hotel Reservations: 800-320-8115
Meeting Ref. # 20V229
Online Reservations: http://www.Sandestin.com/20V229.aspx
See www.sandestin.com for general information about the resort.
For information about travel, lodging, and local restaurants in the Destin area see:
www.destinrestaurants.com | www/destinfl.com | www.doitgulf.com | www.gulflink.com
2015 S.E. Eye Annual Regional Meeting Registration
Please Print:
First Name: _________________________
Last Name: _________________________
MI: __________
Title (Circle One):
Physician
Technician
Administrator
Street/POB: ______________________________________________________________________________________
City: ______________________________
State: __________
Zip: ____________________________
Tel: (____________)- ____________-____________ Fax: (____________)-____________-_____________________
E-mail: ___________________________________________________________________________________________
Organization: _____________________________________________________________________________________
Meeting Registration Fees:
Check One:
Circle Appropriate State: AL LA MS TN Other_______________
_____ Physician-State Society Member
_____ Physician-Non-State Society Member
_____ Technician
_____ Administrator
_____ Residents/Fellows
$300.00
$500.00
$250.00
$250.00
NO CHARGE
TOTAL AMT. PAID: $_________________________
Payment Methods:
BY CHECK. Payable to S.E. Eye 2015 Annual Meeting. Mail check with this form to Mike Merrill, S.E. Eye 2015
Annual Meeting, 2012 Seaton Park-Sturbridge Commons, Montgomery, AL 36116.
BY CREDIT CARD ON-LINE: See www.regonline.com/SEEye2015 and follow directions.
BY CREDIT CARD: S.E. EYE WILL PROCESS IN-HOUSE: Mail or FAX this form with your credit card
information to Mike Merrill, S.E. 2015 Annual Meeting, 2012 Seaton Park-Sturbridge Commons, Montgomery,
AL 36116. FAX: 334-277-2035. (S.E. Eye will manually process your credit card in-house.)
Type of Credit Card: _____ VISA _____ MasterCard
_____ American Express
Credit Card Number: _______________________________________________________ Exp. Date: _____________
Name as it appears on credit card (Print): ______________________________________________________________
Billing Address: ____________________________________________________________________________________
City: _________________________________ State: _________________________ Zip: ______________________
Signature of Card Holder: (Required) _________________________________________________________________
REGISTERING FOR THE MEETING DOES NOT REGISTER YOU FOR A HOTEL ROOM
CONTACT SANDESTIN GROUP RESERVATIONS:
1-800-320-8115
Reference Meeting # 20V229
*CANCELLATION POLICY*
Cancellations made at least one month before the meeting will receive a full refund.
(MINUS ANY PROCESSING FEES)
Cancellations made less than one month before the meeting will incur a $30.00 cancellation fee per person.
QUESTIONS/COMMENTS:
Contact Mike Merrill, Esq.
Tel: 334-279-9755 | Fax: 334-277-2035 | E-mail: jmikemerrill@gmail.com