advancing native health and wellness july 31 - august 5, 2012 … · 2014. 3. 4. · advancing...

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Advancing Native Health and Wellness Tentative Conference Agenda July 31 - August 5, 2012 Anchorage, Alaska *Non-CME presentation/event Updated_7-27-12 Time Topic Areas Speakers 7:30 AM - 7:30 PM* Time Topic Areas Speakers 6:00 - 11:30 AM* 6:00 - 11:30 AM* 8:00 AM - 7:30 PM* 1:00 - 5:00 PM* Nuka Model Session Southcentral Foundation Time Topic Areas Speakers 7:30 - 8:00 AM* 8:00 AM - 5:00 PM* Video Interviews By Invitation Only 8:00 - 9:00 AM* Welcome Ceremony Donna Galbreath, MD; Katherine Gottlieb, MBA, DPS (h.c.); Color Guards; Eklutna Tribal Representative; and Hawaiian Cultural Protocol 9:00 - 9:15 AM* Announcements S. Kalani Brady, MD, MPH, FACP, University of Hawai'i (UH), John A. Burns School of Medicine (JABSOM), Department of Native Hawaiian Health (DNHH), Honolulu, HI 9:15 - 10:15 AM Keynote - Nuka: An Award Winning Native Health Care Delivery Model Katherine Gottlieb, MBA, DPS (h.c.), President and CEO, Southcentral Foundation (SCF), Anchorage, AK 10:15 - 11:15 AM Plenary - The Role of Native Health Leadership Donna Galbreath, MD, President, Association of American Indian Physicians (AAIP), Anchorage, AK 11:15 AM - 12:45 PM* LUNCH/Exhibits American Psychiatric Association 12:00 PM - 1:00 PM* 12:45 - 1:45 PM Keynote - Native Voices: Native Peoples' Concepts of Health and Illness Donald A.B. Lindberg, MD, Director, National Library of Medicine, NIH, Bethesda, MD 1. 'Aha Kāne (Native Hawaiian Men's Health) 2. Drum-Assisted Recovery Therapy for Native Americans (DARTNA): Pretest Results and Final Treatment Development 3. Disparities in Stroke and Traumatic Brain Injury among Native Hawaiians and other Pacific Islanders 1. G. Umi Kai; William (Billy) K. Richards, Jr.; and Keola Kawai'ula'iliahi Chan, Honolulu, HI 2. Daniel Dickerson, DO, MPH, UCLA, Los Angeles, CA 3. Kazuma Nakagawa, MD, The Queen's Medical Center, Honolulu, HI 1:45 - 3:45 PM* Cultural Workshop: Lomilomi Presentation and Demonstration Na Lomilomi o Papakolea 2:45 - 3:00 PM* 2:45 - 3:45 PM* 1. Family Wellness Warriors Initiative (FWWI)* 2. Culturally-Minded Behavioral Health Care for Native Hawaiians 3. Native Hawaiians and Psychiatric Inpatient Hospitalizations: Rates, Severity, Length of Stay, and Associated Factors 1. TBD, SCF, Anchorage, AK 2. Aukahi Austin, PhD, I Ola Lāhui, Honolulu, HI 3. Tetine Sentell, PhD, UH, Office of Public Health Studies, Honolulu, HI 3:45 - 4:45 PM* 1. The Queen's Medical Center - Models of Native Hawaiian Healthcare Delivery 2. Nuka System of Care - The Integrated Care Team 3. Reducing Disparities in Morbidity and Mortality in Viral Hepatitis and Autoimmune Liver Diseases 1. Maenette K.P. Ah Nee-Benham, EdD, UH, Hawai'inuiākea School of Hawaiian Knowledge and The Queen's Medical Center Board of Trustees, Honolulu, HI; and Diane Paloma, MBA, The Queen's Health Systems, Honolulu, HI 2. Shanda Lohse, MD, SCF, Anchorage, AK 3. Stephen Livingston, MD, Alaska Native Tribal Health Consortium (ANTHC), Anchorage, AK 5:00 - 6:00 PM* AAIP Business Meeting Members Only 5:00 - 6:00 PM* ANAMS Business Meeting Members Only 6:00 - 8:30 PM* Grand Reception Recognition - AAIP Physician of the Year and Elder; In Memorial - Honoring Dr. Johanna Clevenger 8:30 PM* AAIP Sweat Lodge - Contact AAIP for more information 3:00 - 4:00 PM Concurrent Sessions Tuesday, July 31, 2012 (Pre-Admission Workshop) Summer 2012 Pre-Admission Workshop (PAW) - Contact AAIP for more information Wednesday, August 1, 2012 (Pre-Admission Workshop) Summer 2012 Pre-Admission Workshop (PAW) - Contact AAIP for more information Thursday, August 2, 2012 AAIP Women's Retreat - Contact AAIP for more information AAIP Men's Retreat - Contact AAIP for more information Continental Breakfast 1:45 - 2:45 PM NIDDK Workshop ANAMS Med/Allied Health Student Panel Q & A Concurrent Sessions BREAK/Posters/Exhibits ANAMS Sub-Specialty/Fellowship Panel 4:00 - 5:00 PM Concurrent Sessions

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Page 1: Advancing Native Health and Wellness July 31 - August 5, 2012 … · 2014. 3. 4. · Advancing Native Health and Wellness Tentative Conference Agenda July 31 - August 5, 2012 Anchorage,

Advancing Native Health and WellnessTentative Conference Agenda

July 31 - August 5, 2012Anchorage, Alaska

*Non-CME presentation/event Updated_7-27-12

Time Topic Areas Speakers7:30 AM - 7:30 PM*

Time Topic Areas Speakers6:00 - 11:30 AM*6:00 - 11:30 AM*8:00 AM - 7:30 PM*1:00 - 5:00 PM* Nuka Model Session Southcentral Foundation

Time Topic Areas Speakers7:30 - 8:00 AM*

8:00 AM - 5:00 PM* Video Interviews By Invitation Only

8:00 - 9:00 AM* Welcome Ceremony Donna Galbreath, MD; Katherine Gottlieb, MBA, DPS (h.c.); Color Guards; Eklutna Tribal Representative; and Hawaiian Cultural Protocol

9:00 - 9:15 AM* Announcements S. Kalani Brady, MD, MPH, FACP, University of Hawai'i (UH), John A. Burns School of Medicine (JABSOM), Department of Native Hawaiian Health (DNHH), Honolulu, HI

9:15 - 10:15 AM Keynote - Nuka: An Award Winning Native Health Care Delivery Model

Katherine Gottlieb, MBA, DPS (h.c.), President and CEO, Southcentral Foundation (SCF), Anchorage, AK

10:15 - 11:15 AM Plenary - The Role of Native Health Leadership Donna Galbreath, MD, President, Association of American Indian Physicians (AAIP), Anchorage, AK

11:15 AM - 12:45 PM* LUNCH/Exhibits American Psychiatric Association

12:00 PM - 1:00 PM*12:45 - 1:45 PM Keynote - Native Voices: Native Peoples' Concepts of Health

and IllnessDonald A.B. Lindberg, MD, Director, National Library of Medicine, NIH, Bethesda, MD

1. 'Aha Kāne (Native Hawaiian Men's Health)

2. Drum-Assisted Recovery Therapy for Native Americans (DARTNA): Pretest Results and Final Treatment Development 3. Disparities in Stroke and Traumatic Brain Injury among Native Hawaiians and other Pacific Islanders

1. G. Umi Kai; William (Billy) K. Richards, Jr.; and Keola Kawai'ula'iliahi Chan, Honolulu, HI2. Daniel Dickerson, DO, MPH, UCLA, Los Angeles, CA

3. Kazuma Nakagawa, MD, The Queen's Medical Center, Honolulu, HI

1:45 - 3:45 PM* Cultural Workshop: Lomilomi Presentation and Demonstration Na Lomilomi o Papakolea

2:45 - 3:00 PM*2:45 - 3:45 PM*

1. Family Wellness Warriors Initiative (FWWI)*2. Culturally-Minded Behavioral Health Care for Native Hawaiians3. Native Hawaiians and Psychiatric Inpatient Hospitalizations: Rates, Severity, Length of Stay, and Associated Factors

1. TBD, SCF, Anchorage, AK2. Aukahi Austin, PhD, I Ola Lāhui, Honolulu, HI

3. Tetine Sentell, PhD, UH, Office of Public Health Studies, Honolulu, HI

3:45 - 4:45 PM*

1. The Queen's Medical Center - Models of Native Hawaiian Healthcare Delivery

2. Nuka System of Care - The Integrated Care Team3. Reducing Disparities in Morbidity and Mortality in Viral Hepatitis and Autoimmune Liver Diseases

1. Maenette K.P. Ah Nee-Benham, EdD, UH, Hawai'inuiākea School of Hawaiian Knowledge and The Queen's Medical Center Board of Trustees, Honolulu, HI; and Diane Paloma, MBA, The Queen's Health Systems, Honolulu, HI2. Shanda Lohse, MD, SCF, Anchorage, AK3. Stephen Livingston, MD, Alaska Native Tribal Health Consortium (ANTHC), Anchorage, AK

5:00 - 6:00 PM* AAIP Business Meeting Members Only5:00 - 6:00 PM* ANAMS Business Meeting Members Only

6:00 - 8:30 PM* Grand Reception Recognition - AAIP Physician of the Year and Elder;In Memorial - Honoring Dr. Johanna Clevenger

8:30 PM* AAIP Sweat Lodge - Contact AAIP for more information

3:00 - 4:00 PM Concurrent Sessions

Tuesday, July 31, 2012 (Pre-Admission Workshop)

Summer 2012 Pre-Admission Workshop (PAW) - Contact AAIP for more informationWednesday, August 1, 2012 (Pre-Admission Workshop)

Summer 2012 Pre-Admission Workshop (PAW) - Contact AAIP for more information

Thursday, August 2, 2012

AAIP Women's Retreat - Contact AAIP for more information AAIP Men's Retreat - Contact AAIP for more information

Continental Breakfast

1:45 - 2:45 PM

NIDDK Workshop

ANAMS Med/Allied Health Student Panel Q & A

Concurrent Sessions

BREAK/Posters/Exhibits

ANAMS Sub-Specialty/Fellowship Panel

4:00 - 5:00 PM Concurrent Sessions

Page 2: Advancing Native Health and Wellness July 31 - August 5, 2012 … · 2014. 3. 4. · Advancing Native Health and Wellness Tentative Conference Agenda July 31 - August 5, 2012 Anchorage,

Advancing Native Health and WellnessTentative Conference Agenda

July 31 - August 5, 2012Anchorage, Alaska

*Non-CME presentation/event Updated_7-27-12

Time Topic Areas Speakers6:00 - 7:30 AM* AAIP Initiation Members Only

7:45 - 8:15 AM*

8:00 AM - 5:00 PM* Video Interviews By Invitation Only

8:15 - 8:30 AM* Welcome/Announcements AAIP/Center

8:30 - 9:30 AM Keynote - Advancing Native Health and Wellness John Ruffin, PhD, Director, NIMHD, NIH, Bethesda, MD

9:30 - 10:30 AM Plenary - A Decade of Discovery: What have we learned? Marjorie Leimomi Mau, MD, MS, UH, JABSOM, DNHH, Honolulu, HI

10:30 - 10:45 AM*10:45 - 11:45 AM Keynote - Research Advances in Obesity, Diabetes, and

Kidney DiseaseGriffin P. Rodgers, MD, MBA, Director, NIDDK, NIH, Bethesda, MD

11:45 AM - 1:00 PM* LUNCH/Posters/Exhibits Jeremy A. Lazarus, MD, President, American Medical Association

1:00 - 2:00 PM1. Hula Empowering Lifestyle Adaptations (HELA Study)

2. Anti-Hypertensive and Stain Therapy in Children: Indications and current recommendations3. The Spirit of EAGLES Hampton Faculty Fellows

1. Todd B. Seto, MD, MPH; Kahealani Rivera, MD; Mele Look, MBA; Māpuana de Silva; and Tricia Usagawa, MS, Honolulu, HI2. Jason Deen, MD, Seattle Children's Hospital, Seattle, WA

3. Judith S. Kaur, MD, Mayo Clinic Comprehensive Cancer Center, Rochester, MN and Leah M. Rouse Arndt, PhD, University of Wisconsin-Milwaukee, Milwaukee, WI

2:00 - 3:00 PM1. The PILI 'Ohana Project: Eight Years of Progress Toward Eliminating Obesity2. Healthy, Active Native Communities: Combating Obesity in Tribal Communities

3. Insights about Research from Former Native Investigator Program Participants

1. Keawe'aimoku Kaholokula, PhD, UH, JABSOM, DNHH, Honolulu, HI; and B. Puni Kekauoha, Kula no na Po'e Hawai'i, Honolulu, HI2. Valarie Blue Bird Jernigan, DrPH, MPH, Choctaw Nation of Oklahoma; Sarah McClellan-Welch, Eastern Band of Cherokee Indians; Valory Wangler, MD, Zuni Youth Enrichment Project; Carolyn Osenga, White Earth Reservation Wellness Project; Holly Long VanHoozen, Jena Band of Choctaw Indians 3. Stacey Jolly, MD, MAS, Cleveland Clinic, Cleaveland, OH and Denise A. Dillard, PhD, SCF, Anchorage, AK

2:30 - 3:30 PM* Cultural Workshop: Hula Empowering Lifestyle Adaptations (HELA Study)

Mapuana de Silva, Hālau Mōhala ‘Ilima, Kailua, HI

3:00 - 4:00 PM*

3:00 - 3:30 PM*3:30 - 4:30 PM

1. National Program to Eliminate Diabetes in Vulnerable Populations2. The Hawaii Youth Metabolic Study

3. The Lumbee Rite of Passage: A Cultural Enhancement Program for Lumbee Indian Youth to Address Cultural Awareness and Psychosocial Health

1. Heather Levi, MPH, Janis Simon and Onita Harris, AAIP

2. May Okihiro, MD, MS, UH, JABSOM, Department of Pediatrics, Honolulu,HI3. Ronny A. Bell, PhD, MS, Wake Forest School of Medicine, Salem, NC

4:00 - 5:00 PM*

4:30 - 5:00 PM(Abstract)

Diabetes Prevalence in Western Alaska Native People: The Western Alaska Tribal Collaborative for Health (WATCH) Study

Stacey Jolly, MD, MAS, Cleveland Clinic, Cleveland, OH

5:00 - 5:30 PM(Abstract)

Providing Discrete and Reliable STD Testing in Alaska via a Web-Based At-Home Service

Connie Jessen, MA, ANTHC, Anchorage, AK

5:00 - 6:00 PM* ANAMS Business Meeting Members Only

5:30 - 6:30 PM* AAIP Business Meeting Members Only

6:30 - 11:00 PM*8:30 PM* AAIP and ANAMS Mixer (For Physicians & Medical Students) By Invitation Only

BREAK/Posters/Exhibits

Continental Breakfast

BREAK/Posters/Exhibits

Cultural Performance

ANAMS Talking Circle

ANAMS Suturing Workshop

Concurrent Sessions

Concurrent Sessions

Concurrent Sessions

Friday, August 3, 2012

Page 3: Advancing Native Health and Wellness July 31 - August 5, 2012 … · 2014. 3. 4. · Advancing Native Health and Wellness Tentative Conference Agenda July 31 - August 5, 2012 Anchorage,

Advancing Native Health and WellnessTentative Conference Agenda

July 31 - August 5, 2012Anchorage, Alaska

*Non-CME presentation/event Updated_7-27-12

Time Topic Areas Speakers6:00 - 7:30 AM*

7:15 - 7:45 AM*

7:45 - 8:00 AM* Welcome/Announcements AAIP/Center

8:00 AM - 5:00 PM* Video Interviews By Invitation Only

8:00 - 9:00 AM Plenary - Traditional Healing: Ensuring Its Future Ted Mala, MD, MPH, SCF, Anchorage, AK

9:00 - 10:00 AM Keynote - Māori Health - Successes and Challenges in 2012 Professor Chris Cunningham, Director, Research Centre for Māori Health & Development, Massey University, Wellington, New Zealand

10:00 - 10:45 AM* Indian Health Service (IHS) Update Yvette Roubideaux, MD, MPH, IHS, Rockville, MD (invited)

10:45 - 11:00 AM* BREAK/Posters/Exhibits

11:00 AM - 12:00 PM1a. Integrating Chiropractic Care (11:00 - 11:30 AM)

1b. Integrative Medicine: Alaska Plants as Food and Medicine (11:30 AM - 12:00 PM)2. 'Imi Ho'ōla Post-Baccalaureate Program - A Successful Model3. Walking with the Native Spirit of Understanding: Preserving One's Cultural Foundations in Contemporary Healthcare Practice

1a. Genevieve John, DC, and Angela Marie Michaud, DC, SCF, Anchorage, AK1b. Gary L. Ferguson II, ND, ANTHC, Anchorage, AK

2. Dee-Ann Carpenter, MD, UH, JABSOM, DNHH, Honolulu, HI

3. Kathleen Kang-Kaulupali, PharmD; Babette Lilinoe Galang, MPH, LMT; and H. Haunani Kalama, RN, Papa Ola Lokahi, Honolulu, HI

12:30 - 2:00 PM* Physician and Student Only Luncheon (Sponsored by AAMC) By Invitation Only

12:00 - 1:15 PM* LUNCH/Posters Box Lunches

1:15 - 2:15 PM1. Getting to the Roots: How What Happens Early in Life Affects Adult Health and Mental Health2. Shared Decision Making to Address Diabetes Disparities in Multi-Ethnic Minorities: The Hanapu Study3. Indigenous Food Challenge: Our Hydration is Our Medicine

1. Ann Bullock, MD, Indian Health Service, Whittier, NC

2. Marjorie Leimomi Mau, MD, MS and Dee-Ann Carpenter, MD, UH, JABSOM, DNHH, Honolulu, HI3. Terry Maresca, MD, Snoqualmie Tribal Health Services, Snoqualmie, WA

1:30 - 3:30 PM* Cultural Workshop: Lua as a Way of Life Pa Ku'i a Lua

2:15 - 3:15 PM1. Bridging Traditional and Western Healing Practices

2. Store Outside Your Door

3. Chiropractic/Wellness Care

1. B. Puni Kekauoha; Adrienne Y. Dillard, MSW, LSW; Ethel F. Mau; Dee-Ann Carpenter, MD, Kula no na Po'e Hawai'i/Na Lomilomi o Papakolea, Honolulu, HI 2. Gary L. Ferguson II, ND, and Desiree Bergeron, RD, LD, ANTHC, Anchorage, AK3. Anapuni Coleman, DC, Honolulu, HI

3:15 - 3:30 PM* BREAK/Posters

1. Hawaiian Cultural Ways of Healing: Relevancy for Today

2. What is Traditional Healing and when should you see a Traditional Healer?

1. Richard K. Paglinawan, MSW and Lynette K. Paglinawan, MSW, Pa Ku'i a Lua, Honolulu, HI2. Elizabeth Dolchok and Mary Sears, SCF, Anchorage, AK

4:00 - 5:00 PM* ANAMS Business Meeting Members Only

4:30 - 5:30 PM* AAIP Business Meeting Members Only

6:00 - 10:30 PM*

Saturday, August 4, 2012

Continental Breakfast

5K Fun Run and 1 Mile Walk - Contact AAIP for more information

Gourd Dance/Pow Wow/Dance Competition

Concurrent Sessions

Concurrent Sessions

Concurrent Sessions

Concurrent Sessions

3:30 - 4:30 PM

Page 4: Advancing Native Health and Wellness July 31 - August 5, 2012 … · 2014. 3. 4. · Advancing Native Health and Wellness Tentative Conference Agenda July 31 - August 5, 2012 Anchorage,

Advancing Native Health and WellnessTentative Conference Agenda

July 31 - August 5, 2012Anchorage, Alaska

*Non-CME presentation/event Updated_7-27-12

Time Topic Areas Speakers8:00 - 11:30 AM* Video Interviews By Invitation Only8:00 - 8:30 AM*

8:30 - 8:45 AM* Welcome/Announcements AAIP/Center

8:45 - 9:15 AM(Abstract)

Addressing Diabetes Disparities in Asian American, Native Hawaiian, & Pacific Islanders Through a Public/Private Partnership: The National Diabetes Education Program

Mele Look, MBA, UH, JABSOM, DNHH, Honolulu, HI

9:15 - 9:45 AM(Abstract)

Behavioral Change in Type 2 Diabetic Patients Following Digital Retinal Imaging as Described by the Transtheoretical Model

Kathleen Kihmm Connolly, MS, UH, JABSOM, DNHH, Honolulu, HI

9:45 - 10:15 AM* Wrap-Up/Closing Remarks Donna Galbreath, MD, President, AAIP, Anchorage, AKMarjorie Leimomi Mau, MD, MS, UH, JABSOM, DNHH, Honolulu, HI

10:15 - 10:45 AM* Closing Ceremony

11:00 AM - 12:30 PM* AAIP Board Meeting Members Only

Continental Breakfast

Sunday, August 5, 2012

Cultural Workshops and Events

AAIP Program and Events

Page 5: Advancing Native Health and Wellness July 31 - August 5, 2012 … · 2014. 3. 4. · Advancing Native Health and Wellness Tentative Conference Agenda July 31 - August 5, 2012 Anchorage,

“Advancing Native Health and Wellness”

A joint conference of the Association of American Indian Physicians and the

University of Hawai‘i – Center for Native and Pacific Health Disparities Research

July 31 – August 5, 2012

William A. Egan Civic Center

Anchorage, Alaska

Overall Conference Objective:

The objective of this conference is for health and medical education programs

within the Alaska Native, Native American, and Native Hawaiian communities to

grow in capacity, and to grow in their ability to implement culturally appropriate

models of health care and service delivery systems that improve the health and

wellness of Native peoples. The disparities in health care amongst Native peoples will

be addressed through the application of scientific advances in medicine, in

congruence with traditional healing and culturally holistic practices. To “ho`oulu”

[cause growth and inspiration] in this knowledge, we begin by building medical

training opportunities, faculty development programs, and diversity in biomedical

research and the health care workforce of, and for, Native peoples.

Target Audience:

This program should be of interest to physicians, physicians-in-training, social

scientists, nurses, cultural practitioners and health care providers who serve Native

and Pacific Peoples.

Continuing Medical Education:

The Hawaii Consortium for Continuing Medical Education is accredited by the

Accreditation Council for Continuing Medical Education to provide continuing

medical education for physicians.

The Hawaii Consortium for Continuing Medical Education designates this live activity

for a maximum of 21.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only

the credit commensurate with the extent of their participation in the activity.

Sponsored by the Hawai‘i Consortium for Continuing Medical Education, a joint venture between the

Hawai‘i Medical Association and the John A. Burns School of Medicine, University of Hawai‘i at Mānoa.

Page 6: Advancing Native Health and Wellness July 31 - August 5, 2012 … · 2014. 3. 4. · Advancing Native Health and Wellness Tentative Conference Agenda July 31 - August 5, 2012 Anchorage,

Egan Convention Center Anchorage, Alaska

July 31 - August 5, 2012

Egan Convention Center Anchorage, Alaska

July 31 - August 5, 2012

NAME BADGE INFORMATION: Complete the information below, EXACTLY how you wish it to appear on your name badge including professional designation – i.e., M.D., D.O., D.D.S., R.N., etc.

Name

Degree(s)

Title or Residency Year

Organization/Institution

MAILING INFORMATION: A registration receipt will be e-mailed or mailed to:

Mailing Address

City State Zip

Telephone E-Mail Address

METHOD OF PAYMENT: Registrations can only be processed when accompanied by payment. Please make checks payable to AAIP. Checks can be mailed to address listed at the bottom of the registration form.

Account Number

Cardholder’s Signature

Check #: Amount $:

Charge my: Visa MasterCard American Express

Cardholder’s Name

Expiration Date

Today’s Date

PRE-

Tuesday, July 31, 2012

Pre-Admission Workshop

Wednesday, August 1, 2012

Pre-Admission Workshop

Women’s Retreat

Men’s Retreat Thursday, August 2, 2012 Grand Reception Friday, August 3, 2012 AAIP Initiation Cultural Event Saturday, August 4, 2012 5K Fun Run & One Mile Walk Pow Wow Sunday, August 5, 2012 Closing

Fax

2012 Advancing Native Health & Wellness Conference A joint conference of the Association of American Indian Physicians and the University of Hawai‘i, Center for Native and Pacific Health Disparities Research

Registration Form

FAX OR MAIL THIS FORM AND PAYMENT TO:

AAIP, 1225 SOVEREIGN ROW, STE. 103, OKLAHOMA CITY, OK 73108

PHONE: 405-946-7072 FAX: 405-946-7651

REGISTRANT INFORMATION: ( C h e c k A l l T h a t A p p l y )

Poster Session Participant ($100 off) AAIP Member First-time Attendee Interested in CME Credits Student (if sponsored, please indicate by whom) Vegetarian Meals

REGISTRATION TYPE/FEE CATEGORY: ( C h e c k o n e )

Registration must be post-marked or otherwise dated on or before Friday, June 29, 2012, to receive the early bird rate. Regular rates apply to all registrations after this date.

Physicians Early Bird Conference Registration $500 Regular Conference Registration $525

General Early Bird Conference Registration $400 Regular Conference Registration $425 Elders Conference Registration $300 Student Registration $250 Daily Rate $150 ( D a t e ( s ) o f a t t e n d a n c e )

IMPORTANT DEADLINES: Early registration deadline: Friday, June 29, 2012

Cancellation deadline: Friday, July 20, 2012

CANCELLATION & REFUND POLICY: Written cancellations postmarked on or before Friday, July 20, 2012, by 5:00 pm (CST), will be honored in full, less a $100 processing fee. Refunds will NOT be issued for cancellations postmarked after this date. Fax or e-mail cancellation notifications to the AAIP Accounting Department at (405) 946-7651 or “[email protected]”.

NUKA Presentation & Tour

CONFERENCE AND SPECIAL EVENTS SCHEDULE:

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Check all sessions you are planning on attending.
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