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Winter - Indiana Academy of Family Physicians

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Program GoalsRegistrants for this program will receive current informationon a variety <strong>of</strong> medical subjects pertinent to patient care in thedaily practice <strong>of</strong> family medicine. Subject matter was chosenbased on assessed educational needs <strong>of</strong> the IAFP membership.At the conclusion <strong>of</strong> the program, registrants should have aworking and applicable understanding <strong>of</strong> the topics.Who Should Attend<strong>Family</strong> physicians and other primary care health careproviders including other MD/DO specialties, PAs, RNs,Nurse Practitioners, etc.AAFP CME CreditThis activity has been reviewed and is acceptable for up to 25Prescribed credit(s) by the American <strong>Academy</strong> <strong>of</strong> <strong>Family</strong> <strong>Physicians</strong>.Individuals with DisabilitiesIf you have a disability that requires special service to enableyou to attend this conference, please contact the IAFP <strong>of</strong>ficeby January 13 to speak with our staff regarding your specialneeds. Advance notification <strong>of</strong> any special need or servicehelps us to serve you better.Meeting LocationMarriott North, 3645 River Crossing Parkway, <strong>Indiana</strong>polis,<strong>Indiana</strong>. The <strong>Indiana</strong>polis Marriott North is located on theprestigious North Side, in the Keystone & River Crossingareas, just 25 minutes from the airport and 20 minutes fromdowntown. The hotel <strong>of</strong>fers 300 spacious guest rooms, with abeautiful indoor pool and whirlpool, fitness center, andapproximately 13,000 square feet <strong>of</strong> flexible meeting space.Overnight AccomodationsA block <strong>of</strong> rooms is being held at the Marriott North. The IAFProom rate is $99. Reservations may be made by calling317.705.0000. You must identify yourself as being with the<strong>Indiana</strong> <strong>Academy</strong> <strong>of</strong> <strong>Family</strong> <strong>Physicians</strong> and make yourreservation prior to January 4, 2007 to receive the group rate.Registration Fee IncludesRegistration materials including a certificate <strong>of</strong> attendanceand syllabus. Refreshment breaks each day along with dinneron Thursday, continental breakfast & lunch on Friday andSaturday, and full breakfast on Sunday.REGISTRATION CARDIAFP 2007 <strong>Family</strong> Medicine UpdateJanuary 25-28, 2006 – Marriott North, <strong>Indiana</strong>polis(Please Print)Name __________________________________________ MD ______ DO ______ Other ___________Address __________________________________ City ______________ State ______ Zip __________Phone __________________________________________ Fax _________________________________E-Mail __________________________________________IAFP Member Full Conference Fees:Active or Supporting Member &Ancillary Personnel @ $345First Year in Practice, Life &Resident Member @ $225IAFP Member One Day Only Fees:Thursday Only @ $100Friday Only @ $150Saturday Only @ $150Sunday Only @ $100Non-Member Physician <strong>of</strong> theAAFP @ $425To register, please complete this card and return in an envelope, along with your check or credit cardinformation, to: IAFP, 55 Monument Circle, Suite 400, <strong>Indiana</strong>polis, IN 46204.Please print name <strong>of</strong> credit card holder:____________________________________________________________Credit Card MC ______ VISA ______ Credit Card # _____________________ Expiration Date ______Signature ____________________________________________________________________________*If paying with a credit card, please remember that when you receive your statement, this charge will appear from “Meetings Etc.,” which is the firm theIAFP uses to make its credit charges.21

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