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The 28th Annual Conference on Obstetrics, Gynecology,
Perinatal Medicine, Neonatology and the Law
The 12th Annual Multispecialty Conference on Medical Negligence and Risk Management
in Medicine, Surgery, Emergency Medicine, Radiology, and Family Medicine
January 2 - 8, 2012 // JW Marriott Guanacaste Resort & Spa, Papagayo Peninsula, Costa Rica |
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* indicates required fields
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* First Name:
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* Last Name:
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* Primary Degree:
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* Degree(s) as it should appear on your certificate:
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* Specialty:
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Secondary Specialty:
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* Address:
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* City:
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* State:
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* Zip Code:
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* Country:
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* Phone Number:
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Fax:
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Emergency Contact Name:
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Emergency Contact Phone Number:
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* Email Address:
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Special Instructions:
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| Are you a graduate of Boston University School of Medicine?
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| If so, in what year did you graduate?
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| Are you a Boston University School of Medicine or Boston Medical Center faculty or staff member?
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| If yes, please provide your ID number for verification
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* Do you want to be included on the BUSM CME e-mail list?
Yes
No
* Do you want to be included on the conference participant list?
Yes
No |
* Which conference are you attending?
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| TUITION |
Through 10/31/11 |
After 10/31/11 |
The 28th Annual Conference on Obstetrics, Gynecology, Perinatal Medicine, Neonatology, and the Law
January 2 - 6, 2012 |
| Physician/Attorney |
$750 |
$790 |
| Nurse, Nurse Practitioner, Midwife, Insurance Personnel, Resident, Fellow |
$425 |
$455 |
The 12th Annual Multispecialty Conference on Medical Negligence and Risk Management in Medicine, Surgery, Emergency Medicine, Radiology, and Family Medicine
January 5 - 8, 2012 |
| Physician/Attorney |
$650 |
$690 |
| Nurse, Nurse Practitioner, Midwife, Insurance Personnel, Resident, Fellow |
$395 |
$435 |
20% discount for attending both conferences
January 2 - 8, 2012 |
| Physician/Attorney |
$1,120 |
$1,185 |
| Nurse, Nurse Practitioner, Midwife, Insurance Personnel, Resident, Fellow |
$655 |
$705 |
Tuition includes (for attendees only): continental breakfast, coffee
breaks,
comprehensive syllabus on CD, and welcome reception. |
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| How did you hear about this conference? |
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Substitution/Cancellation Policy
Substitutions may be made at any time without an additional charge. Refunds will be issued for all cancellations received two weeks prior to the start of the conference. Should cancellation occur within the two-week window, a credit will be issued, not a refund. A $50 administrative fee will be charged for all refunds and credits. “No shows” are subject to the full course fee. Cancellation/substitution(s) must be made in writing. Refunds or credits will not be issued once the conference has started. This course is subject to change or cancellation.
Special Services/Dietary Needs
To request reasonable accommodations for disabilities, please notify the CME office, in writing, at least two weeks prior to the start of the conference. The CME office will work to accommodate dietary requests (including, but not limited to: kosher, vegetarian, low- cholesterol, and low-sodium meals) received, in writing, at least two weeks prior to the start of the conference. |
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Boston University School of Medicine Continuing Medical Education
72 East Concord Street, A402, Boston, MA 02118
Phone: (617) 638-4605 // Toll-Free: (800) 688-2475 // Email: cme@bu.edu // Website: www.bu.edu/cme
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