TT hh ee II oo ww aa PP oo dd ii aa tt rr ii cc MM ee ddii cc aa ll SS oocc ii ee tt yyTT hh ee II ooww aa PP oo dd iiaa tt rr ii cc MM ee dd ii cc aa ll SS oo cc iiee tt yy
PPRREESSEENNTTEEDD BBYY::
22000099 PPrraaccttiicceeEEnnhhaanncceemmeennttPPrrooggrraammOOccttoobbeerr 1177,, 22000099
Name Title Nickname
Clinic Name
Clinic Address
City State ZIP
Phone Fax
RReeggiissttrraattiioonn FFoorrmmRReeggiissttrraattiioonn FFoorrmmIIPPMMSS PPrraaccttiiccee EEnnhhaanncceemmeennttIIPPMMSS PPrraaccttiiccee EEnnhhaanncceemmeenntt
PPRRAACCTTIICCEE EENNHHAANNCCEEMMEENNTT CCOONNFFEERREENNCCEE RREEGGIISSTTRRAATTIIOONNSSAATTUURRDDAAYY,, OOCCTTOOBBEERR 1177,, 22000099
�APMA Member DoctorIncludes Registration for One Assistant from Same Office ............................................................$149.00
Name of Assistant Attending Conference with Doctor Listed Above ______________________________________________________________________________
�Non-APMA Member DoctorIncludes Registration for One Assistant from Same Office .............................................................$169.00
Name of Assistant Attending Conference with Doctor Listed Above ______________________________________________________________________________
�Additional Nurse/Assistant working with APMA Member Doctor ............................................................................................ $79.00
�Additional Nurse/Assistantworking with Non-APMA Member Doctor .................................................................................... $99.00
�Student Registration (please pre-register)................................................................FREE +$20.00 for lunch
TOTAL AMOUNT ENCLOSED
�Please indicate if you have any special dietary needs or special needs:
______________________________________________________________________________
PPAAYYMMEENNTT MMEETTHHOODDSS
�Check - Make payable to: Iowa Podiatric Medical Society�Visa �Mastercard �American Express �DiscoverCredit Card # _____________________________________________ Expiration Date _______________Name on Card __________________________________________________________________________Signature ______________________________________________________________________________
Credit Card charges will appear as “Assoc Offices 515-282-8192”
SSeenndd tthhiiss ffoorrmm ttoo:: Iowa Podiatric Medical Society525 SW 5th Street, Suite A
Des Moines, Iowa 50309-4501OR FAX 515-282-9117
CChhaannggee YYoouurr PPrraaccttiiccee,, CChhaannggee YYoouurr LLiiffee
CCoonnffeerreennccee CCoo--CChhaaiirrss::CCoonnffeerreennccee CCoo--CChhaaiirrss::DDrr.. EEdd PPrriikkaasszzcczziikkoowwDDrr.. EEdd PPrriikkaasszzcczziikkoowwDDrr.. DDaavviidd SScchhrrooeeddeerrDDrr.. DDaavviidd SScchhrrooeeddeerr
22000099 PPrraaccttiicceeEEnnhhaanncceemmeennttPPrrooggrraammOOccttoobbeerr 1177,, 22000099
CChhaannggee YYoouurr PPrraaccttiiccee,, CChhaannggee YYoouurr LLiiffee
PPlleeaassee NNoottee:: This registration form is for the one-day Practice Enhancement Conference only. It does notinclude the CME sessions of the Heartland Podiatry Conference.
OOnnlliinnee rreeggiissttrraattiioonn iiss aavvaaiillaabbllee aatt wwwwww..iippmmss..oorrgg.. CClliicckk tthhee ““22000099 PPooddiiaattrryy CCoonnffeerreennccee”” lliinnkk aanndd yyoouu wwiillll bbee ddiirreecctteedd ttoo tthhee oonnlliinnee rreeggiissttrraattiioonn ffoorrmm..
Improving Patient Flow and Efficiency - Lynn Homisak, PRT
This session will focus on the power of our daily operations and how they affectour stress, efficiency and patient flow... and how to improve them for maximumperformance.• Learn how to get your practice to run on time• Take control of your schedule for better results• Make little changes that make a big difference• Instead of working yourself into the system, make the system work for you
Lynn Homisak, PRT, a NJ Licensed Podiatric Radiology Technologist, is from theSeattle, Washington area. Her experience as a podiatric medical assistant and officemanager for a total of 38 years has provided her with both a practical and education-al background. Today, she is owner, consultant and trainer of SOS HealthcareManagement Solutions, a podiatric consultant company. Lynn has a Certificate ofHuman Resource Studies from Cornell University School of Industry and LaborRelations and is a Fellow and Past Vice-President of the American Academy ofPodiatric Practice Management. Having made numerous contributions as a lecturerand author in areas of practice management and human resources, she is recognizednationwide by many in her profession as an expert in staff and human resource man-agement. Her specialized Podiatric Staff Training Workshops are offered nationwide.
The Art of Patient Presentation - John Guiliana, DPM, MS
We will discuss scientifically proven methods to help facilitate your patient's under-standing and acceptance of various treatment plans.
Dr. Guiliana is a nationally recognized speaker and author on topics pertaining tomedical practice management. He holds a Master’s in Health Care Management andis a Fellow of the American Academy of Podiatric Practice Management. Many enjoyDr. Guiliana’s monthly column Talking Practice Enhancement, featured in the APMANews. He is also frequently published in many other professional journals, includingPodiatry Management, in which he was voted one of America’s most influential podi-atrists in 2006. John is in private practice in Hackettstown, New Jersey.
From 0 to 60 in 90 days - Rem Jackson
What can you do to literally turn your practice around in 90 days? Most podia-trists want to make some big changes in their practices but aren't sure where tostart. Rem Jackson shares the 9 critical business behaviors he's seen podiatrists andother professionals use to accomplish great positive changes in their practices.
Rem Jackson is the founder and CEO of Top Practices, LLC, a company dedicatedto helping professionals, businesses, and K12 educators reach their full potentialthrough innovative marketing, sales, management, and professional development pro-grams. Rem has been guiding professionals, educators, and business leaders as a coachand trainer for over 18 years. He led the team that founded Classroom Connect, a high-tech company dedicated to helping K-12 educators integrate technology into theirinstruction. The programs he has developed have been experienced by over 100,000educators, businesspeople, and government leaders in North America and Asia.
Technology Tips to Increase Efficiency and Save Time - Zac Childress
Simple ways to use inexpensive new technologies available for your practice andpersonal life.
Zac Childress is the President and CEO of DarwinTech, Inc. a Certified BusinessPartner of the Medinotes Corporation and Value Added Reseller of Lytec PracticeManagement Software.
Developing the Ideal Marketing Plan for Your Practice - John Guiliana,DPM and Rem Jackson
In this workshop, participants focus on the key components needed for a success-ful marketing plan for a podiatry practice. Every practice is different, but all prac-tices need a steady growth and business development process. In this session weshare how successful practices have significantly built and grown their practices inthe last year. Using real-world examples, and an interactive format, each personwill leave with an understanding of how to market a podiatry practice. They willlearn why most of the marketing they've done in the past hasn't worked and whatdoes work.
Practice Data Analysis…Understanding the EKG of your Practice - John Guiliana, DPM, MS
Quality healthcare is dependent upon staying financially healthy. Despite this,physicians often lack a clear understanding of what their practice’s data is tellingthem and how they should interpret and react to it. This program will discuss thefundamentals of getting and staying financially healthy. Quality care dependsupon it!
In-office Dispensing to Improve Patient Care and Your Bottom Line -Hal Ornstein, DPM
• Learn how in-office dispensing can enhance clinical outcomes due to increased patient compliance and satisfaction
• Learn how to incorporate a sensible in-office dispensing program into your practice or how to expand your current program
• Learn what basic categories of products are best utilized in a practice tomaximize clinical outcomes and practice profitability
• Discuss integrating in-office dispensing into treatment protocols• Review effective techniques for staff integration into in-office dispensing
Dr. Ornstein proudly serves as Chairman and Director of Corporate Developmentof the American Academy of Podiatric Practice Management (AAPPM) and is theConsulting Editor for Podiatry Management Magazine as well as a DistinguishedPractitioner in the National Academies. He has given over 200 presentationsinternationally and has written and been interviewed for over 250 articles on topicspertinent to practice management, patient satisfaction and efficiency in a medicalpractice. His mission is clear; to share and help create smiles, discuss how others canchange their paradigm to show that “Life Just Gets Better” and have them define andreach the pinnacle of their success. Dr. Ornstein has been in private practice foreighteen years and serves as Medical Director of Affiliated Foot and Ankle Center,LLP with its main office in Howell, New Jersey where he also lives with his amazingwife Anna and two lovely boys, Tyler and Zack. He also has another office in Edison,New Jersey.
Meet the Smiths - Maximizing Your Revenue and Patient OutcomeOpportunities While Enhancing Patient Satisfaction - John Guiliana,DPM, MS and Ben Weaver, DPM, MS
What are doctors looking for from their practice? Doctors of all specialties aresearching for ways to improve the quality of care they deliver to their patients,while also increasing the revenue stream of their practice. This entertainingpresentation will introduce you to Mrs. Smith, a fictional yet typical podiatricpatient who presents with a multitude of conditions. You will follow the treatmentof Mrs. Smith through the eyes of two separate podiatric physicians: one who“gets it” and one who “doesn’t”. You will be amazed at the difference in thequality of Mrs. Smith’s care, as well as each practice’s financial health as a result.
Objectives of this presentation include:• Help the physician understand the patient – provider relationship as it pertainsto communication skills, appearance, etc.
• Highlighting innovative interviewing techniques and tools designed to enhancedocumentation and quality
• Exploring the importance of crafting and implementing practice protocols intoa medical practice, such as heel pain, wound care and other dermatologicalconditions, PAD and CVI, and diabetic foot care. New technologies andservices will be introduced that can significantly improve quality and mighteven save lives!
• Lastly, the presentation will conclude with a demonstration of how practicingmore comprehensively using protocols will affect your bottom line.
Dr. Weaver completed his Certification for Wound Care and is a Fellow of theAmerican College of Foot and Ankle Orthopedics and Medicine. He is a member ofthe American Professional Wound Care Association as well as in the College ofCertified Wound Specialists. He is a Secretary and Fellow of the American Academyof Podiatric Practice Management. He is currently serving as Secretary of theAmerican Academy of Podiatric Practice Management and mentors many newpractitioners.
CCHHAANNGGEE YYOOUURR PPRRAACCTTIICCEE,, CCHHAANNGGEE YYOOUURR LLIIFFEEDDEETTAAIILLEEDD AAGGEENNDDAA
RREEGGIISSTTRRAATTIIOONNRegistration includes lunch, session materials, access to the exhibit hall, networking opportunities, and muchmore. You can register either by completing the enclosed registration form or by registering online. To registeronline simply go to the IPMS website at www.ipms.org and click on 2009 Heartland Podiatry Conference link.
AACCCCOOMMMMOODDAATTIIOONNSSEmbassy Suites Hotel 1-800-EMBASSY or (515) 244-1700101 East Locust, Des Moines, IA 50309Embassy Suites Hotel On The River is located in the heart of downtown Des Moines. The hotel is just minutes fromthe State Capitol building and Des Moines International Airport, and is easily accessible from I-235. Please reserve your room by Wednesday, September 23rd to receive the special $139 room rate. Breakfast is included in the room rate. For reservations by phone, please be sure to mention that you are attending the IPMS seminar. To reserveyour room online, go to www.ipms.org and click on 2009 Heartland Podiatry Conference link. Please note that theDes Moines Marathon and The World Food Prize are both taking place in Des Moines on the same weekend as theconference. Please be sure to make your hotel reservations early.Parking is available in the surface lot at $7.00 per day. The lot is located on Locust Street, just north of thehotel. Underground parking is available at $14.00 per day as well as valet parking at $19.00 per day. Meteredstreet parking is free on Saturday.
CCAANNCCEELLLLAATTIIOONN PPOOLLIICCYYCancellations must be received in writing. Fees will be refunded in full up to 14 days prior to the conference.Cancellation received within the 14-day limit but prior to 48 hours before the conference shall be refunded at arate of 50 percent of the fee charged.
CCOONNTTAACCTT IINNFFOORRMMAATTIIOONNIowa Podiatric Medical Society525 S.W. 5th Street, Suite A, Des Moines, IA 50309-4501 Phone: (515) 282-8192 • Fax: (515) 282-9117 E-mail: [email protected] • Web: www.ipms.org
SSCCHHEEDDUULLEE AATT AA GGLLAANNCCEE8:30 – 9:15 Improving Patient Flow and Efficiency9:15 – 9:45 The Art of Patient Presentation9:45 – 10:15 From 0 to 60 in 90 Days10:15 – 10:35 Technology Tips to Increase
Efficiency and Save Time10:35 – 11:05 Break with Exhibitors11:05 – 12:30 Developing the Ideal Marketing
Plan for Your Practice12:30 – 1:15 Lunch with Exhibitor and
Networking Time1:15 – 1:45 Practice Data Analysis…
Understanding the EKG of YourPractice
1:45 – 2:30 In-office Dispensing to Improve Patient Care and Your Bottom Line
2:30 – 3:00 Break with Exhibitors3:00 – 4:00 Meet the Smiths - Maximizing Your
Revenue and Patient Outcome Opportunities While Enhancing Patient Satisfaction
WWEELLCCOOMMEEDue to the increasing demands placed upon our members, IPMSis proud to announce our first Practice Enhancement Conference,held in conjunction with the 2009 Heartland PodiatryConference.
The goal of the meeting is to provide registrants with as manyuseful practice management strategies as possible. This ispractical information that you can take back to the office thefollowing Monday morning and use immediately to improvepatient care, productivity and of course…..your bottom line!You will be amazed at the amount of assistance and practicaleducation you will receive at this meeting. Whether you are aveteran of the profession, a new practitioner, resident, student, orpodiatric assistant, these lectures will provide you with dozens ofproven ideas you can use immediately to build and improve yourpractice. This is “nuts-and-bolts” practice management at itsbest!
Join IPMS and the American Academy of Podiatric PracticeManagement (AAPPM) this year to find out why this 40+ yearorganization continues to “WOW” its audiences. Meet HalOrnstein, DPM, recipient of Podiatry Management 2009 Hall ofFame award, and Chairman of the American Academy ofPodiatric Practice Management. Lynn Homisak, PRT, ownerand consultant of SOS Healthcare Management Solutions willkick off this conference followed by a rollercoaster ride fromAAPPM. Hold on to your seats! You have the knowledge andeducation. Now get the management skills to pull it all togetherto be successful in this great profession of ours!!
Ed Prikaszczikow, DPM
Improving Patient Flow and Efficiency - Lynn Homisak, PRT
This session will focus on the power of our daily operations and how they affectour stress, efficiency and patient flow... and how to improve them for maximumperformance.• Learn how to get your practice to run on time• Take control of your schedule for better results• Make little changes that make a big difference• Instead of working yourself into the system, make the system work for you
Lynn Homisak, PRT, a NJ Licensed Podiatric Radiology Technologist, is from theSeattle, Washington area. Her experience as a podiatric medical assistant and officemanager for a total of 38 years has provided her with both a practical and education-al background. Today, she is owner, consultant and trainer of SOS HealthcareManagement Solutions, a podiatric consultant company. Lynn has a Certificate ofHuman Resource Studies from Cornell University School of Industry and LaborRelations and is a Fellow and Past Vice-President of the American Academy ofPodiatric Practice Management. Having made numerous contributions as a lecturerand author in areas of practice management and human resources, she is recognizednationwide by many in her profession as an expert in staff and human resource man-agement. Her specialized Podiatric Staff Training Workshops are offered nationwide.
The Art of Patient Presentation - John Guiliana, DPM, MS
We will discuss scientifically proven methods to help facilitate your patient's under-standing and acceptance of various treatment plans.
Dr. Guiliana is a nationally recognized speaker and author on topics pertaining tomedical practice management. He holds a Master’s in Health Care Management andis a Fellow of the American Academy of Podiatric Practice Management. Many enjoyDr. Guiliana’s monthly column Talking Practice Enhancement, featured in the APMANews. He is also frequently published in many other professional journals, includingPodiatry Management, in which he was voted one of America’s most influential podi-atrists in 2006. John is in private practice in Hackettstown, New Jersey.
From 0 to 60 in 90 days - Rem Jackson
What can you do to literally turn your practice around in 90 days? Most podia-trists want to make some big changes in their practices but aren't sure where tostart. Rem Jackson shares the 9 critical business behaviors he's seen podiatrists andother professionals use to accomplish great positive changes in their practices.
Rem Jackson is the founder and CEO of Top Practices, LLC, a company dedicatedto helping professionals, businesses, and K12 educators reach their full potentialthrough innovative marketing, sales, management, and professional development pro-grams. Rem has been guiding professionals, educators, and business leaders as a coachand trainer for over 18 years. He led the team that founded Classroom Connect, a high-tech company dedicated to helping K-12 educators integrate technology into theirinstruction. The programs he has developed have been experienced by over 100,000educators, businesspeople, and government leaders in North America and Asia.
Technology Tips to Increase Efficiency and Save Time - Zac Childress
Simple ways to use inexpensive new technologies available for your practice andpersonal life.
Zac Childress is the President and CEO of DarwinTech, Inc. a Certified BusinessPartner of the Medinotes Corporation and Value Added Reseller of Lytec PracticeManagement Software.
Developing the Ideal Marketing Plan for Your Practice - John Guiliana,DPM and Rem Jackson
In this workshop, participants focus on the key components needed for a success-ful marketing plan for a podiatry practice. Every practice is different, but all prac-tices need a steady growth and business development process. In this session weshare how successful practices have significantly built and grown their practices inthe last year. Using real-world examples, and an interactive format, each personwill leave with an understanding of how to market a podiatry practice. They willlearn why most of the marketing they've done in the past hasn't worked and whatdoes work.
Practice Data Analysis…Understanding the EKG of your Practice - John Guiliana, DPM, MS
Quality healthcare is dependent upon staying financially healthy. Despite this,physicians often lack a clear understanding of what their practice’s data is tellingthem and how they should interpret and react to it. This program will discuss thefundamentals of getting and staying financially healthy. Quality care dependsupon it!
In-office Dispensing to Improve Patient Care and Your Bottom Line -Hal Ornstein, DPM
• Learn how in-office dispensing can enhance clinical outcomes due to increased patient compliance and satisfaction
• Learn how to incorporate a sensible in-office dispensing program into your practice or how to expand your current program
• Learn what basic categories of products are best utilized in a practice tomaximize clinical outcomes and practice profitability
• Discuss integrating in-office dispensing into treatment protocols• Review effective techniques for staff integration into in-office dispensing
Dr. Ornstein proudly serves as Chairman and Director of Corporate Developmentof the American Academy of Podiatric Practice Management (AAPPM) and is theConsulting Editor for Podiatry Management Magazine as well as a DistinguishedPractitioner in the National Academies. He has given over 200 presentationsinternationally and has written and been interviewed for over 250 articles on topicspertinent to practice management, patient satisfaction and efficiency in a medicalpractice. His mission is clear; to share and help create smiles, discuss how others canchange their paradigm to show that “Life Just Gets Better” and have them define andreach the pinnacle of their success. Dr. Ornstein has been in private practice foreighteen years and serves as Medical Director of Affiliated Foot and Ankle Center,LLP with its main office in Howell, New Jersey where he also lives with his amazingwife Anna and two lovely boys, Tyler and Zack. He also has another office in Edison,New Jersey.
Meet the Smiths - Maximizing Your Revenue and Patient OutcomeOpportunities While Enhancing Patient Satisfaction - John Guiliana,DPM, MS and Ben Weaver, DPM, MS
What are doctors looking for from their practice? Doctors of all specialties aresearching for ways to improve the quality of care they deliver to their patients,while also increasing the revenue stream of their practice. This entertainingpresentation will introduce you to Mrs. Smith, a fictional yet typical podiatricpatient who presents with a multitude of conditions. You will follow the treatmentof Mrs. Smith through the eyes of two separate podiatric physicians: one who“gets it” and one who “doesn’t”. You will be amazed at the difference in thequality of Mrs. Smith’s care, as well as each practice’s financial health as a result.
Objectives of this presentation include:• Help the physician understand the patient – provider relationship as it pertainsto communication skills, appearance, etc.
• Highlighting innovative interviewing techniques and tools designed to enhancedocumentation and quality
• Exploring the importance of crafting and implementing practice protocols intoa medical practice, such as heel pain, wound care and other dermatologicalconditions, PAD and CVI, and diabetic foot care. New technologies andservices will be introduced that can significantly improve quality and mighteven save lives!
• Lastly, the presentation will conclude with a demonstration of how practicingmore comprehensively using protocols will affect your bottom line.
Dr. Weaver completed his Certification for Wound Care and is a Fellow of theAmerican College of Foot and Ankle Orthopedics and Medicine. He is a member ofthe American Professional Wound Care Association as well as in the College ofCertified Wound Specialists. He is a Secretary and Fellow of the American Academyof Podiatric Practice Management. He is currently serving as Secretary of theAmerican Academy of Podiatric Practice Management and mentors many newpractitioners.
CCHHAANNGGEE YYOOUURR PPRRAACCTTIICCEE,, CCHHAANNGGEE YYOOUURR LLIIFFEEDDEETTAAIILLEEDD AAGGEENNDDAA
RREEGGIISSTTRRAATTIIOONNRegistration includes lunch, session materials, access to the exhibit hall, networking opportunities, and muchmore. You can register either by completing the enclosed registration form or by registering online. To registeronline simply go to the IPMS website at www.ipms.org and click on 2009 Heartland Podiatry Conference link.
AACCCCOOMMMMOODDAATTIIOONNSSEmbassy Suites Hotel 1-800-EMBASSY or (515) 244-1700101 East Locust, Des Moines, IA 50309Embassy Suites Hotel On The River is located in the heart of downtown Des Moines. The hotel is just minutes fromthe State Capitol building and Des Moines International Airport, and is easily accessible from I-235. Please reserve your room by Wednesday, September 23rd to receive the special $139 room rate. Breakfast is included in the room rate. For reservations by phone, please be sure to mention that you are attending the IPMS seminar. To reserveyour room online, go to www.ipms.org and click on 2009 Heartland Podiatry Conference link. Please note that theDes Moines Marathon and The World Food Prize are both taking place in Des Moines on the same weekend as theconference. Please be sure to make your hotel reservations early.Parking is available in the surface lot at $7.00 per day. The lot is located on Locust Street, just north of thehotel. Underground parking is available at $14.00 per day as well as valet parking at $19.00 per day. Meteredstreet parking is free on Saturday.
CCAANNCCEELLLLAATTIIOONN PPOOLLIICCYYCancellations must be received in writing. Fees will be refunded in full up to 14 days prior to the conference.Cancellation received within the 14-day limit but prior to 48 hours before the conference shall be refunded at arate of 50 percent of the fee charged.
CCOONNTTAACCTT IINNFFOORRMMAATTIIOONNIowa Podiatric Medical Society525 S.W. 5th Street, Suite A, Des Moines, IA 50309-4501 Phone: (515) 282-8192 • Fax: (515) 282-9117 E-mail: [email protected] • Web: www.ipms.org
SSCCHHEEDDUULLEE AATT AA GGLLAANNCCEE8:30 – 9:15 Improving Patient Flow and Efficiency9:15 – 9:45 The Art of Patient Presentation9:45 – 10:15 From 0 to 60 in 90 Days10:15 – 10:35 Technology Tips to Increase
Efficiency and Save Time10:35 – 11:05 Break with Exhibitors11:05 – 12:30 Developing the Ideal Marketing
Plan for Your Practice12:30 – 1:15 Lunch with Exhibitor and
Networking Time1:15 – 1:45 Practice Data Analysis…
Understanding the EKG of YourPractice
1:45 – 2:30 In-office Dispensing to Improve Patient Care and Your Bottom Line
2:30 – 3:00 Break with Exhibitors3:00 – 4:00 Meet the Smiths - Maximizing Your
Revenue and Patient Outcome Opportunities While Enhancing Patient Satisfaction
WWEELLCCOOMMEEDue to the increasing demands placed upon our members, IPMSis proud to announce our first Practice Enhancement Conference,held in conjunction with the 2009 Heartland PodiatryConference.
The goal of the meeting is to provide registrants with as manyuseful practice management strategies as possible. This ispractical information that you can take back to the office thefollowing Monday morning and use immediately to improvepatient care, productivity and of course…..your bottom line!You will be amazed at the amount of assistance and practicaleducation you will receive at this meeting. Whether you are aveteran of the profession, a new practitioner, resident, student, orpodiatric assistant, these lectures will provide you with dozens ofproven ideas you can use immediately to build and improve yourpractice. This is “nuts-and-bolts” practice management at itsbest!
Join IPMS and the American Academy of Podiatric PracticeManagement (AAPPM) this year to find out why this 40+ yearorganization continues to “WOW” its audiences. Meet HalOrnstein, DPM, recipient of Podiatry Management 2009 Hall ofFame award, and Chairman of the American Academy ofPodiatric Practice Management. Lynn Homisak, PRT, ownerand consultant of SOS Healthcare Management Solutions willkick off this conference followed by a rollercoaster ride fromAAPPM. Hold on to your seats! You have the knowledge andeducation. Now get the management skills to pull it all togetherto be successful in this great profession of ours!!
Ed Prikaszczikow, DPM
TT hh ee II oo ww aa PP oo dd ii aa tt rr ii cc MM ee ddii cc aa ll SS oocc ii ee tt yyTT hh ee II ooww aa PP oo dd iiaa tt rr ii cc MM ee dd ii cc aa ll SS oo cc iiee tt yy
PPRREESSEENNTTEEDD BBYY::
22000099 PPrraaccttiicceeEEnnhhaanncceemmeennttPPrrooggrraammOOccttoobbeerr 1177,, 22000099
Name Title Nickname
Clinic Name
Clinic Address
City State ZIP
Phone Fax
RReeggiissttrraattiioonn FFoorrmmRReeggiissttrraattiioonn FFoorrmmIIPPMMSS PPrraaccttiiccee EEnnhhaanncceemmeennttIIPPMMSS PPrraaccttiiccee EEnnhhaanncceemmeenntt
PPRRAACCTTIICCEE EENNHHAANNCCEEMMEENNTT CCOONNFFEERREENNCCEE RREEGGIISSTTRRAATTIIOONNSSAATTUURRDDAAYY,, OOCCTTOOBBEERR 1177,, 22000099
�APMA Member DoctorIncludes Registration for One Assistant from Same Office ............................................................$149.00
Name of Assistant Attending Conference with Doctor Listed Above ______________________________________________________________________________
�Non-APMA Member DoctorIncludes Registration for One Assistant from Same Office .............................................................$169.00
Name of Assistant Attending Conference with Doctor Listed Above ______________________________________________________________________________
�Additional Nurse/Assistant working with APMA Member Doctor ............................................................................................ $79.00
�Additional Nurse/Assistantworking with Non-APMA Member Doctor .................................................................................... $99.00
�Student Registration (please pre-register)................................................................FREE +$20.00 for lunch
TOTAL AMOUNT ENCLOSED
�Please indicate if you have any special dietary needs or special needs:
______________________________________________________________________________
PPAAYYMMEENNTT MMEETTHHOODDSS
�Check - Make payable to: Iowa Podiatric Medical Society�Visa �Mastercard �American Express �DiscoverCredit Card # _____________________________________________ Expiration Date _______________Name on Card __________________________________________________________________________Signature ______________________________________________________________________________
Credit Card charges will appear as “Assoc Offices 515-282-8192”
SSeenndd tthhiiss ffoorrmm ttoo:: Iowa Podiatric Medical Society525 SW 5th Street, Suite A
Des Moines, Iowa 50309-4501OR FAX 515-282-9117
CChhaannggee YYoouurr PPrraaccttiiccee,, CChhaannggee YYoouurr LLiiffee
CCoonnffeerreennccee CCoo--CChhaaiirrss::CCoonnffeerreennccee CCoo--CChhaaiirrss::DDrr.. EEdd PPrriikkaasszzcczziikkoowwDDrr.. EEdd PPrriikkaasszzcczziikkoowwDDrr.. DDaavviidd SScchhrrooeeddeerrDDrr.. DDaavviidd SScchhrrooeeddeerr
22000099 PPrraaccttiicceeEEnnhhaanncceemmeennttPPrrooggrraammOOccttoobbeerr 1177,, 22000099
CChhaannggee YYoouurr PPrraaccttiiccee,, CChhaannggee YYoouurr LLiiffee
PPlleeaassee NNoottee:: This registration form is for the one-day Practice Enhancement Conference only. It does notinclude the CME sessions of the Heartland Podiatry Conference.
OOnnlliinnee rreeggiissttrraattiioonn iiss aavvaaiillaabbllee aatt wwwwww..iippmmss..oorrgg.. CClliicckk tthhee ““22000099 PPooddiiaattrryy CCoonnffeerreennccee”” lliinnkk aanndd yyoouu wwiillll bbee ddiirreecctteedd ttoo tthhee oonnlliinnee rreeggiissttrraattiioonn ffoorrmm..
