May 20-25, 2018Omni Hilton Head Oceanfront Resort

Register Today!kids.HackensackUMC.org/peds2018

Hackensack Meridian Health presents

36th Annual Review of Developmental Behavioral Disorders &

A Spectrum of Pediatric ChallengesFounded By Marvin I. Gottlieb, M.D., Ph.D.

ProgramSUNDAY, MAY 20 Moderator - Randye Huron, M.D., M.S., FAAP

3 – 3:30 p.m. WELCOMEJeffrey R. Boscamp, M.D. Ihor Sawczuk, M.D.

3:30 – 4:30 p.m. SCIENCE, SECRETS AND SENSITIVE SUBJECTS: COMMUNICATING PEDIATRIC EXPERTISE ON DIFFICULT TOPICS

KEYNOTE SPEAKER: Perri Klass, M.D.

4:30 – 5:30 p.m. NEAR SCIENCE: UNDERSTANDING HEALTH DISPARITY AND EXPOSURE TO VIOLENCESharon Cooper, M.D.

5:30 – 5:40 p.m. Q&A

MONDAY, MAY 21 Moderator – Punam Kashyap, M.D.

7:30 – 8:05 a.m. MEDICAL ISSUES FOR CHILDREN WITH AUTISM Oana De-Vinck-Baroody, D.O.

8:05 – 8:40 a.m. CYBERBULLYING, FACEBOOK PROFILES, HOW CHILDREN AND TEENAGERS ARE AFFECTED BY OLD AND NEW MEDIA: VIOLENCE & MEDIA - PART I Victor Strasburger, M.D.

8:40 – 9:05 a.m. Q&A/BREAK

9:05 – 9:40 a.m. HELPING PARENTS AVOID THE PERILS OF PICKY EATING Hildy Lipner, M.A., CCC/SLP

9:40 – 10:25 a.m. EARLY DETECTION TO CHANGE DEVELOPMENTAL TRAJECTORIES OF TODDLERS WITH AUTISM SPECTRUM DISORDER

KEYNOTE SPEAKER: Amy Wetherby, M.D.

10:25 to 10:40 a.m. BREAK

10:40 – 11:15 a.m. MANAGEMENT OF THE OPPOSITIONAL CHILDDenise Aloisio, M.D.

11:15 – 11:50 a.m. MAKING SENSE OF PSYCHOLOGICAL TESTINGEileen Dolan, M.D.

11:50 a.m. – 12 p.m. Q&A

Round Table Discussion1:30 – 3:30 p.m. BEHAVIORAL- DEVELOPMENTAL CASES Denise Aloisio, M.D. Randye Huron, M.D., M.S., FAAP Punam Kashyap, M.D.

TUESDAY, MAY 22 Moderator – Punam Kashyap, M.D.

7:30 – 8:05 a.m. PARENTING STYLES AND DISCIPLINE STRATEGIESJaeah Chung, M.D.

8:05 – 8:40 a.m. WHAT IF YOUR PATIENT CHOOSES COMPLEMENTARY HEALTH APPROACHES FOR TREATMENT OF AUTISM? Susan Levy, M.D.

8:40 – 9:05 a.m. Q&A/BREAK

9:05 – 9:40 a.m. THE NEGLECT OF NEGLECT: THE ROLE OF DEVELOPMENTAL PEDIATRICIANS IN CHILD NEGLECT Sharon Cooper, M.D.

9:40 – 10:15 a.m. CYBERBULLYING, FACEBOOK PROFILES, HOW CHILDREN AND TEENAGERS ARE AFFECTED BY OLD AND NEW MEDIA: VIOLENCE & MEDIA - PART IIVictor Strasburger, M.D.

10:15 – 10:40 a.m. Q&A/BREAK

10:40 – 11:15 a.m. REACH OUT AND READ: HOW BOOKS BETTER BRAINS

KEYNOTE SPEAKER: Perri Klass, M.D.

11:15 – 11:50 a.m. GENERALIZED JOINT HYPERMOBILITY SYNDROME: IS IT REALLY BENIGN? Patti Ryan, PT, MBA

11:50 a.m. – 12 p.m. Q&A

Round Table Discussion1:30 – 3:30 p.m. WHAT IF IT’S NOT AUTISM?Susan Levy, M.D., MPH

WEDNESDAY, MAY 23 Moderator – Punam Kashyap, M.D.

7:30 – 8:05 a.m. THERE IS A BODY ATTACHED TO THE HEAD: MEDICAL SURVEILLANCE OF PATIENTS USING PSYCHOTROPIC MEDICATIONSDoris Greenberg, M.D.

8:05 – 8:40 a.m. MORE THAN DEVELOPMENTAL CONCERNS Helio Pedro, M.D.

8:40 –9:05 a.m. Q&A/BREAK

9:05 – 9:55 a.m. THE PATIENT ENCOUNTER AND THE CHILD WITH OBESITY: GUIDELINES, GUIDANCE AND GOALS

KEYNOTE SPEAKER: Sandra G. Hassink, M.D., MS, FAAP

9:55 – 10:15 a.m. Q&A/BREAK

10:15 – 10:50 a.m. CONTROVERSIES IN CHILD ABUSESteven Kairys, M.D.

10:50 – 11 a.m. Q&A

Round Table Discussion11 a.m. – 1 p.m. CLINICALLY INTEGRATED NETWORKS: IN OR OUT? Colleen Kearney, APN, NE-BCKen Sable, M.D.Ihor Sawczuk, M.D. Mark Sparta, FACHELinda Stanton, MBA, RN, BSN

THURSDAY, MAY 24 Moderator – Michael Harris, M.D.

7:30 – 8:05 A.M. BRONCHIOLITIS: HOW THE GUIDELINES CAN HELP Usha Avva, M.D.

8:05 – 8:40 a.m. ONCOFERTILITY: PRESERVING THE FUTURE STARTS NOWRachel Heaney, APN

8:40 – 9:05 a.m. Q&A/BREAK

9:05 – 9:40 a.m. RECOGNIZING PEDIATRIC SEPSISAndrew McInnes, M.D.

9:40 – 10:15 a.m. WHAT’S NEW IN JIA: TREATMENT AND OUTCOMEYukiko Kimura, M.D.

10:15 – 10:40 a.m. Q&A/BREAK

10:40 – 11:15 a.m. VAPING: WHAT YOU NEED TO KNOWAda Lee, M.D.

11:15 – 11:50 a.m. EATING DISORDERS IN ADOLESCENTS Jennifer Northridge, M.D.

11:50 a.m. – 12 p.m. Q&A

Round Table Discussion1:30 – 3:30 p.m. NEW INNOVATIONS IN DIABETES CAREAmy Chartoff, APN Steve Ghanny, M.D.

FRIDAY, MAY 25 Moderator – Stephen Percy, Jr., M.D., MBA, FAAP

7:30 – 8:05 a.m. NEWBORN NUTRITION: IS IT ALL IN THE ADDITIVES? Ilana Torine, D.O.

8:05 – 8:40 a.m. HEADS UP ON CONCUSSIONFelicia Gliksman, M.D.

8:40 – 9:05 a.m. Q&A/BREAK

9:05 – 9:40 a.m. HEMOLYTIC UREMIC SYNDROMES: NOT JUST THE BEEF Kenneth Lieberman, M.D.

9:40 – 10:15 a.m. ANXIETY IN ADOLESCENTS: A GROWING CONCERNAnne Farrar-Anton, Ph.D.

10:15 – 10:40 a.m. Q&A/BREAK

10:40 – 11:15 a.m. QUALITY IN PEDIATRIC AMBULATORY PRACTICE: MOC 4 AND BEYOND Kevin Slavin, M.D.

11:15 – 11:50 a.m. SOMETIMES THE HOOFBEATS ARE ZEBRAS Stephen Percy, Jr., M.D., MBA, FAAP

11:50 a.m. – 12 p.m. Q&A

GUEST FACULTYSharon W. Cooper, M.D.President / CEO of Developmental & Forensic Pediatrics, PA University of North Carolina-Chapel Hill Fayetteville, NC

Doris Greenberg, M.D.Clinical Associate Professor of PediatricsMercer University School of PediatricsDirector, Behavioral and Developmental Pediatrics Willet Children’s HospitalSavannah, GA

Sandra G. Hassink, M.D., FAAPPast President, American Academy of Pediatrics, Pediatrician, Nemours/Alfred I. duPont Hospital for ChildrenWilmington, DE

Perri Klass, M.D.Professor of Journalism and Pediatrics NYU New York, NY

Susan Levy, M.D., MPHVice Chair, Committees for Protection of Human SubjectsCenter for Autism ResearchRoberts Center for Pediatric Research; Professor of PediatricsPerelman School of Medicine at University of Pennsylvania The Children’s Hospital of Philadelphia; Perelman School of Medicine at University of PennsylvaniaPhiladelphia, PA

Victor Strasburger, M.D.Distinguished Professor of Pediatrics Emeritus Univ. of New Mexico School of MedicineAlbuquerque, NM

Amy Wetherby, Ph.D.Distinguished Research Professor of Clinical Sciences, College of Medicine, Florida State University L.L. Schendel Professor of Communication Science Disorders, Director, Autism Institute, Florida State University College of Medicine Florida State University - Autism InstituteTallahassee, FL

HACKENSACK MERIDIAN HEALTHDenise Aloisio, M.D. Pediatric Development/BehaviorNeurodevelopmental Disabilities Hackensack Meridian HealthK. Hovnanian Children’s Hospital Neptune, NJ

Dianne Aroh, MSN, RN, NEA-BCExecutive Vice President & ChiefPatient Care & Clinical OfficerHackensack Meridian Health Hackensack University Medical CenterHackensack, NJ

Usha Avva, M.D. Interim Division Director of Pediatric Emergency Medicine Hackensack Meridian Health Joseph M. Sanzari Children’s Hospital Hackensack, NJ

Jeffrey R. Boscamp, M.D. Senior VP, Medical School Development and Integration; Co-Chief Academic OfficerHackensack Meridian HealthProfessor of Pediatrics and Associate Dean, Medical Education Continuum Seton Hall-Hackensack Meridian School of MedicinePhysician-in Chief, Hackensack Meridian Health Joseph M. Sanzari Children’s Hospital Hackensack, NJ

Amy Chartoff, APNMolly Center for Children with Diabetes and Endocrine Disorders Hackensack Meridian Health Joseph M. Sanzari Children’s Hospital Hackensack, NJ

Jaeah Chung, M.D.Attending, Developmental-Behavioral Pediatrics, ICD Hackensack Meridian Health Joseph M. Sanzari Children’s Hospital Hackensack, NJ

Oana De-Vinck-Baroody, D.O.Attending, Developmental-Behavioral Pediatrics, ICD Hackensack Meridian Health Joseph M. Sanzari Children’s Hospital Hackensack, NJ

Eileen Dolan, M.D.Attending, Developmental-Behavioral Pediatrics, ICD Joseph M. Sanzari Children’s Hospital at Hackensack Meridian Health Hackensack, NJ

Anne Farrar-Anton, Ph.D.Psychology SupervisorPediatric NeuropsychologistDoctor of Philosophy - Counseling PsychologyMasters of Science - Clinical PsychopharmacologyChildren’s Cancer Institute Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Steven Ghanny, M.D.Research Director, Pediatric Endocrinology and Diabetes Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Felicia Gliksman, D.O.Pediatric Neurology Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Michael Harris, M.D.Children’s Cancer Institute Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Rachel Heaney, APNChildren’s Cancer Institute Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Randye Huron, M.D.Director, ICD, Chief, Developmental-Behavioral Pediatrics Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Steven Kairys, M.D.Chairman, Department of PediatricsHackensack Meridian Health K. Hovnanian Children’s Hospital Chairman, Pediatrics Seton Hall-Hackensack Meridian School of MedicineAdolescent Medicine, Pediatric Child AbuseMeridian Pediatric Associates Hackensack Meridian HealthJersey Shore University Medical CenterNeptune, NJ

Punam Kashyap, M.DAttending, Developmental-Behavioral Pediatrics, ICD Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Colleen Kearney, APN, NE-BCAdministratorHackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Yukiko Kimura, M.D.Division Director, Pediatric Rheumatology Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Ada Lee, M.D.Attending Pediatric Pulmonology Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Kenneth Lieberman, M.D.Division Director, Pediatric Nephrology Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Hildy Lipner, MA, CCC/SLP Chief, Pediatric Speech Pathology, ICD Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Andrew McInnes, M.D.Assistant Professor, Department of PediatricsSeton Hall-Hackensack Meridian School of MedicinePediatric Intensive Care Unit Hackensack Meridian Health Jersey Shore University Medical CenterNeptune, NJ

Jennifer Northridge, M.D.Division Director, Pediatric Adolescent Medicine Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Helio Pedro, M.D.Division Director, Genetic ServicesHackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Stephen Percy Jr., M.D., MBA, FAAPInterim Chairman, Department of PediatricsDivision Director, Children’s Hospital General Medicine Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Patricia Ryan, PT, MBA Chief, Section of PT and OT Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Kenneth Sable, MD, MBA, FACEPPresident, Hackensack Meridian HealthJersey Shore University Medical Center Hackensack Meridian HealthK. Hovnanian Children’s HospitalNeptune, NJ

Ihor Sawczuk, M.D.President, Hackensack Meridian Health Hackensack University Medical Center Hackensack, NJAssistant Dean for Clinical IntegrationProfessor of SurgerySeton Hall-Hackensack Meridian School of Medicine

Kevin Slavin, M.D., FAAPDirector, High ReliabilityDivision Director, Children’s Hospital Quality & SafetyPediatric Infectious Diseases Hackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Mark D. Sparta, FACHEExecutive Vice President, Chief Operating Officer Hackensack University Medical CenterExecutive Vice President, Population Health Clinical Operations Hackensack Meridian Health

Linda Stanton, MBA, RN, BSNAdministratorHackensack Meridian HealthJoseph M. Sanzari Children’s Hospital Hackensack, NJ

Ilana Torine, D.O.Neonatology,Hackensack Meridian Health K. Hovnanian Children’s Hospital Jersey Shore University Medical CenterNeptune, NJ

Register Today!kids.HackensackUMC.org/peds2018

All attendees and their families are invited to join us for the following COMPLIMENTARY evening events.

Low Country Cookout at the Shorehouse

Tuesday, May 22, 2018 7 - 10 p.m.

Faculty and Attendee Reception in the Courtyard

Wednesday, May 23, 2018 7 - 8:30 p.m.

For more information, email Susan Salvatore at susan.salvatore@hackensackmeridian.org or call (551) 996-5411.

LUXURY IN A TROPICAL PARADISE - Omni Oceanfront Hilton Head Resort

Beachfront luxury in the beautiful South Carolina low country. Located on the sugar sand beaches of Hilton Head Island on the southern coast of South Carolina, this oceanfront resort is a tropical paradise unlike anywhere else in this premier destination. Omni Hilton Head Oceanfront Resort offers beautiful ocean views, access

to championship golf, tennis, multiple pools and miles of outdoor activity.

Hackensack Meridian Health Joseph M. Sanzari Children’s Hospital has a room block of Resort View Single/Double occupancy at a regular room rate of $223/night ($243 courtyard view/$263 ocean view) plus applicable State/Local Tax and Resort/Tourism Fees until April 18, 2018. Reservation requests made after April 18, 2018 will be subject to prevailing rates and availability.

Reservations should be made directly with:The Omni Hilton Head Oceanfront Resort23 Ocean LaneHilton Head Island, SC 29928(843) -341-8000

Or http://www.omnihotels.com/hotels/hilton-head/meetings/hackensack-university-medical-center-2018.

Accommodations

KEYNOTE SPEAKERS

Sandra G. Hassink, M.D., FAAPPast President,

American Academy of PediatricsPediatrician,

Nemours/Alfred I. duPont Hospital for ChildrenWilmington, DE

Perri Klass, M.D.Professor of Journalism

and PediatricsNYU

New York, NY

Amy Wetherby, Ph.D.Distinguished Research Professor of Clinical

Sciences, College of Medicine, Florida State University L.L.

Schendel Professor of Communication Science Disorders, Director, Autism Institute, Florida

State University College of Medicine Florida State University - Autism Institute

Tallahassee, FL

About Hackensack University Medical Center Hackensack Meridian Health Hackensack University Medical Center, a nonprofit teaching and research hospital located in Bergen County, NJ, is the largest provider of inpatient and outpatient services in the state. Founded in 1888 with just 12 beds, Hackensack University Medical Center was Bergen County’s first hospital. As the largest provider of inpatient and outpatient services in New Jersey, this 775-bed facility has created an entire campus of care, including: the Heart & Vascular Hospital, the John Theurer Cancer Center, the Joseph M. Sanzari Children’s Hospital, and the Donna A. Sanzari Women’s Hospital. Hackensack University Medical Center ranks among the best hospitals in the nation. It enjoys numerous clinical, research and academic affiliations with world-renowned partners. Hackensack University Medical Center is one of Bergen County’s largest employers with a work force of more than 7,200 employees. The more than 1,600 physicians and dentists on the medical and dental staff represent the full spectrum of specialties and subspecialties and are international leaders in healthcare. Hackensack University Medical Center is the Hometown Hospital of the New York Football Giants and the New York Red Bulls soccer team, Official Medical Services Provider to The Barclays golf tournament, and its physicians serve as Team Doctors for the New Jersey Devils and Brooklyn Nets. The medical center remains committed to the community through fundraising and community events, such as its annual Life & Liberty event, health fairs and Healthy Heart events. To learn more, visit: HackensackUMC.org.

About the Joseph M. Sanzari Children’s HospitalThe Joseph M. Sanzari Children’s Hospital provides specialized pediatric care in a 127 bed facility dedicated to the care of children. Comprehensive, nationally recognized pediatric subspecialty care is provided in a child and family centered environment.

In 2005, Hackensack University Medical Center dedicated the Sarkis & Siran Gabrellian Women’s and Children’s Pavilion, an ecologically responsible 300,000 square foot building which houses state-of-the-art facilities for the Joseph M. Sanzari Children’s Hospital’s rapidly expanding healthcare services for children.

The Joseph M. Sanzari Children’s Hospital is an advocate for the protection of children, with public health initiatives that include community immunizations, child-abuse and school violence prevention programs, and community education.

Course DirectorsRandye F. Huron, M.D., M.S., FAAPStephen Percy, Jr., M.D., MBA, FAAP Hackensack University Medical Center

CreditsACCREDITATION STATEMENTHackensack University Medical Center is accredited by the Medical Society of New Jersey to provide continuing medical education for physicians.

AMA CREDIT DESIGNATION STATEMENTHackensack University Medical Center designates this live activity for a maximum of 29.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC POINTS STATEMENTSuccessful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn in each session 10 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. There will be two sessions offered. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.

LEARNING OUTCOME:Participants will apply information on current trends and updates in Developmental and Behavioral Disorders and Pediatric Challenges in their care of children and adolescents in a variety of settings.

Nursing Contact Hours: 29.5Pharmacology Credits: 17

Hackensack University Medical Center is an approved provider of continuing nursing education by the New Jersey State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Provider Number P170-9/15-18. Approval status is valid through September 30, 2018.

17Nursing

Pharmacology Contact Hours

General InformationDevelopmental-Behavioral Disorders: Update 2018 is our 36th annual national conference providing an intensive learning experience for pediatricians, pediatric subspecialists, and other pediatric healthcare providers.

Program Purpose and ObjectivesThese presentations will provide pediatricians and other healthcare providers a professional forum for the dissemination of information on quality care for infants, children and adolescents with developmental disabilities and behavioral disorders. Focus on the interdisciplinary approach to diagnosis and management of developmental and behavioral problems and the impact that developmental disabilities and behavioral disorders have on the child, family, educational system, healthcare provider and community will be examined.

At the conclusion of this educational activity the participants will be able to:

1. Identify testing and alternative approaches when caring for developmental and behavioral problems.

2. Recognize that social media communication have the potential to adversely impact development and behavior.

3. Explain the role of medications and alternative approaches in managing behavioral and developmental issues.

4. Explain current pharmacology trends and therapies used in pediatrics.

5. Determine if participation in new Payment Models is appropriate to practitioners’ activities.

6. Identify early detection and emerging challenges for children with Autism in the medical setting.

Section One: May 20-23, 2018 General InformationA Spectrum of Pediatric Challenges: Update 2018 is our 36th annual national conference designed to provide general pediatricians, pediatric subspecialists, and other pediatric healthcare providers with an intensive learning experience.

Program Purpose and ObjectiveThese presentations will provide pediatricians and other pediatric healthcare providers a professional forum for the dissemination of information on quality care for newborns, infants, children and adolescents. Focus on the interdisciplinary approach to diagnosis, treatment and prevention of pediatric problems and the role of the pediatric healthcare provider as major advocate for children will be examined.

A review of the roles and responsibilities of the pediatric healthcare provider in a changing environment of healthcare will be presented.

At the conclusion of this learning activity the participants will be able to:

1. Identify parenting styles and risky behaviors in adolescents and be able to counsel them on avoidance strategies.

2. State current American Academy of Pediatrics (AAP) guidelines in pediatrics topics including: Bronchiolitis, Sepsis, Child Abuse, JIA, Neurology, Developmental and Behavioral, Pulmonology, Neonatology, Nephrology, Oncology, Rheumatology, Endocrinology, Nutrition, Psychology and Pharmacology.

3. Utilize quality Improvement methods to improve outcomes in their practices.

4. Explain to families what options exist and are in the future for the management of Diabetes Mellitus.

5. Counsel new parents on the importance of newborn nutrition and the role additives play in neurodevelopment.

6. Recognize signs and symptoms of traumatic brain injury and learn how to facilitate the return to normal activity.

Register Today!kids.HackensackUMC.org/peds2018

Section Two: May 23-25, 2018

Marvin I. Gottlieb, M.D., Ph.D.1927 - 2008

Conference Founder

For more information, email Susan Salvatore at susan.salvatore@hackensackmeridian.org or call (551) 996-5411.

Register Online at kids.HackensackUMC.org/peds2018or use the attached form with a check made payable to Hackensack University Medical Center/ Department of Pediatrics

Mail to: Susan Salvatore • Joseph M. Sanzari Children’s Hospital • Hackensack University Medical Center30 Prospect Avenue • Hackensack, NJ 07601

l I plan to attend entire conference: (May 20-25, 2018) • A Review of Developmental-Behavioral Disorders • A Spectrum of Pediatric ChallengesTuition for Entire ConferenceEarly Bird Registration for physicians (Prior to April 30, 2018) ....................................................$750

Registration for physicians (After April 30, 2018)............$800

Early Bird Registration for physician’s assistants/ non-physicians* (Prior to April 30, 2018) .........................$500

Registration for physician’s assistants/ non-physicians* after (April 30, 2018)..............................$550

Name

Address

City State Zip

Phone Email

Specialty Hotel reservations at

A Review of Developmental-Behavioral Disorders: May 20-22, 2018

Return this Form and Remittance to: Susan Salvatore | Joseph M. Sanzari Children’s Hospital | Hackensack University Medical Center, 30 Prospect Avenue | Hackensack, NJ 07601

Make Tuition Check Payable to: Hackensack University Medical Center/ Department of Pediatrics

Tuition for Section One of ConferenceEarly Bird Registration for physicians for Section One of conference (Prior to April 30, 2018)..................................$500

Registration for physicians after April 30..............................$550

Early Bird Registration for physician’s assistants/ non-physicians* (Prior to April 30, 2018) .............................$350

Registration for physician’s assistants/ non-physicians* (After April 30, 2018) .................................$400

Individual 1-Day Session @ $200 per session

Please circle: S M T

Total Amount

l I plan to attend entire conference: (May 20-25, 2018)• A Review of Developmental-Behavioral Disorders • A Spectrum of Pediatric ChallengesTuition for Entire ConferenceEarly Bird Registration for physicians (Prior to April 30, 2018) ....................................................$750

Registration for physicians (After April 30, 2018)............$800

Early Bird Registration for physician’s assistants/ non-physicians* (Prior to April 30, 2018) .........................$500

Registration for physician’s assistants/ non-physicians* (After April 30, 2018) ............................$550

Name

Address

City State Zip

Phone Email

Specialty Hotel reservations at

A Spectrum of Pediatric Challenges: May 23-25, 2018

Return this Form and Remittance to: Susan Salvatore | Joseph M. Sanzari Children’s Hospital | Hackensack University Medical Center, 30 Prospect Avenue | Hackensack, NJ 07601

Make Tuition Check Payable to: Hackensack University Medical Center/ Department of Pediatrics

Tuition for Section Two of ConferenceEarly Bird Registration for physicians for Section Two of conference (Prior to April 30, 2018)..................................$500

Registration for physicians after April 30 .............................$550

Early Bird Registration for physician’s assistants/ non-physicians* (Prior to April 30, 2018) .............................$350

Registration for physician’s assistants/ non-physicians* (After April 30, 2018) .................................$400

Individual 1-Day Session @ $200 per session

Please circle: W Th F

Total Amount

*Includes NPs, nursing and others

LUXURY IN A TROPICAL PARADISE - Omni Oceanfront Hilton Head Resort