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Register for the Touching the Future of Children-10th Annual Pediatric Conference
November 2-3, 2009
Sheraton Harrisburg-Hershey
Harrisburg, Pennsylvania

Conference Handouts

Pay by credit card:
Submit your registration information below then call (717) 531-6483 to complete your credit card payment.  You may also download the credit card payment form and mail or fax to:

Department of Continuing Education, G220
Penn State College of Medicine
P.O. Box 851
Hershey, PA  17033-0851
Fax:  (717) 531-5604

Pay by check: 
Make checks payable to Penn State, and mail to:

Department of Continuing Education, G220
Penn State College of Medicine
P.O. Box 851
Hershey, PA 17033-0851

Include a note with your check indicating that your registration was submitted via the Web page.

 

 

 


Area
Information

 

 Authorized billing:
If you would like us to bill your organization, company, or institution, please send a letter of         authorization to bill to our mailing address. The letter must be signed by an individual in your  organization with the authority to make this contract. Registration will be confirmed upon receipt of the billing authorization. (A copy of the authorization can be faxed to 717-531-5604, however, we must have the original copy sent to us.)

Brochure

 

 Registration confirmation:
Registration will be confirmed upon receipt of payment, billing authorization, or a guarantee by credit card. If you do not receive a confirmation within two weeks, please call (717) 531-6483 to confirm.

Name:
How would you like     your name to be printed on your nametag:
Degree:
Specialty:
Date of Birth:
(used as an identifier)
Home Address:
City:
State:
Zip Code:
Organization:
Business Address:
City:
State:
Zip:
Day Phone:
E-mail:
Fax:
Evening Phone:
Register me for the following:
November 2, 2009. Choose one breakout session in each column:
1A-Dietary Treatment of Epilepsy in Children 2A-Compassion Fatigue/Burnout? 3A-Update on Juvenile Arthritis
1B-Cystic Fibrosis Clinical Research 2B-Sickle Cell Disease 3B-Office Mgmt/Pediatric Ortho Conditions
1C-Fetal Palliative Care 2C-What's on the Horizon for NRP? 3C-Commotions in the NICU
1D-One Pill Can Kill 2D-Venous Thromboembolism Prophylaxis 3D-Why We DO the Things We Do
November 3, 2009. Choose one breakout session in each column:
1A-2nd Trauma:  Caring for All of the Victims 2A-Acute vs. Chronic Abdominal Pain 3A-Therapeutic Anticoagulation Therapy
1B-Sexual Minority Youth 2B-Tuberculosis/Children & Adolescents 2009 3B-Alternative Medicine
1C-Hypoxi Ischemic Encephalopathy 2C-Aggressive Nutrition/Premature Infant 3C-It's More Than Skin Deep
1D-Ventilator Modes and Terminology 2D-Pediatric ARDS 3D-Cardiomyopathy Update

Check appropriate Fee:
Early registrations, received by September 8:
$170-One Day
$265-Both Days

Registrations received after September 8:
$190-One Day
$290-Both Days
Payment Method: Credit card to be submitted via:
      fax
      mail
      phone
Authorization to bill employer
Check
 

Additional payment options for HMC/COM employees

IDCC
COM employees only. Send to department ID &HCE. Include IBIS document # in memo field below.
IDT
HMC employees only. Send via interoffice mail to Continuing Education G220.
Memo to bill department
HMC employees only. Send via interoffice mail to Continuing Education. Include budget # and authorized signature.
Memo:
Please provide any additional information or questions you have concerning this registration.
Do you require special services (i.e., handicapped access, hearing impaired, dietary needs, etc.), and if so, what services do you require?

By pressing the "Send Registration" button below, the information will be submitted to the Continuing Education office via our secure server. Your registration will be confirmed via e-mail within one week. Your registration is not complete until you receive a confirmation from ContinuingEd@hmc.psu.edu via e-mail.

    

 

 

For suggestions or comments about the Penn State Hershey Continuing Education web site, please email ContinuingEd@hmc.psu.edu.
 



Penn State Milton S. Hershey Medical Center ©2004
This page was last updated on October 28, 2009
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