WOMEN S HEALTH AND OB/GYN CARE EARN UP TO WASHINGTON, DC SEPTEMBER 20-23, 2017 REGISTER EARLY & SAVE $70 25 CE HOURS

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1 WOMEN S HEALTH AND OB/GYN CARE REGISTER EARLY & SAVE $70 WASHINGTON, DC SEPTEMBER 20-23, 2017 EARN UP TO 25 CE HOURS REGISTER ONLINE AT CONTEMPORARYFORUMS.COM OR CALL

2 WOMEN S HEALTH AND OB/GYN CARE WASHINGTON, DC SEPTEMBER 20-23, 2017 WHOBGYN17 CONTEMPORARYFORUMS.COM HIGHLIGHTS AND BENEFITS Contemporary Forums is returning to and is bringing its 32 nd Women s Health and OB/GYN Care conference. This popular conference will offer a comprehensive program addressing multiple issues in women s health care. NPs, CNMs, RNs, MDs and PAs will have the opportunity to enhance their clinical knowledge and skills on the unique challenges that women face. Expert and highly experienced faculty will share evidencebased concepts intended to optimize health care decisions for female patients. Attendees will enjoy networking with colleagues, engaging in live discussions and learning current approaches to improve their primary care practice. WHY THIS IS A MUST-ATTEND CE EVENT: A morning Preconference, Supporting Optimal Health for Women in Primary Care, will address concerns and therapies that are often brought to Women s Health practices, such as hypertension, hyperlipidemia, and metabolic issues. An afternoon Preconference, Female Sexuality Workshop from a Patient-Centered Perspective, will offer techniques for taking a comprehensive sexual history, approaches to assess sexual health for women and their partners and the most suitable therapeutic solutions for individuals and couples. This conference will deliver a wide variety of topics that comprehensively improve the care of women from their reproductive years through menopause. A choice of 15 Concurrent Sessions offering clinically applicable information on infection prevention, genetic abnormalities screening, abortion, uterine bleeding, pain management, and other areas relevant to the women s primary care setting. The nation s capital,, with majestic national landmarks, world-class museums, shops, restaurants and historic townhomes is the city to celebrate and explore. CONFERENCE OBJECTIVES Identify the approaches to diagnose and manage women s health concerns. Define how the prevention and timely management of women s health concerns can significantly improve their well-being. Recognize the impact of maternal mortality and reproductive healthcare in special populations. Determine how furthering legal knowledge can support and improve the primary care practice. WHO SHOULD ATTEND? Nurse Practitioners Office and Clinic Nurses Nurse-Midwives Staff Nurses and Nurse Managers Physicians Physician Assistants You! FOR YOUR CONVENIENCE...2 OPTIONS TO ATTEND THIS CONFERENCE CHOOSE THE OPTION BELOW THAT BEST FITS YOUR SCHEDULE TO LEARN AND EARN CE CREDIT. SEE CONFERENCE INFORMATION PAGE FOR PRICING. OPTION #1 OPTION #2 RECORDED CONFERENCE LIVE CONFERENCE This popular conference will offer a comprehensive program addressing multiple issues in women s health care. MDs, NPs, CNMs, RNs, and PAs will have the opportunity to enhance their clinical knowledge and skills by engaging with expert faculty, as well as enjoy networking with colleagues while learning current and evidence-based approaches to care for women in the primary care setting. Clinically applicable information in women s care including screening, ultrasound, uterine bleeding, pain management, contraception, and other areas of interest relevant to the primary care setting. $340 PRE-ORDER DISCOUNT PRICE INCLUDES: Access to all recorded Preconference and Main Conference sessions for 3 years. Online evaluations to earn over 40 hours of ANCC/ACCME credit. Place your order today by registering for this meeting online at ContemporaryForums.com and selecting the Online Learning option, or mail/fax the Registration Form. Register by September 19 to receive the pre-order discount. Online access instructions will be ed approximately 2 weeks after end of conference.

3 CONFERENCE FACULTY PROGRAM CHAIR Adriana LeBer, MAOM Program Manager Contemporary Forums FEATURED FACUTLY Patty Cason, MSN, FNP-BC Assistant Clinical Professor UCLA School of Nursing Nurse Practitioner & Consultant Planned Parenthood Los Angeles, California Michael S. Policar, MD, MPH Clinical Professor, Obstetrics, Gynecology and Reproductive Sciences University of California San Francisco School of Medicine San Francisco, California GUEST FACULTY Douglas Braun-Harvey, MA, MFT, CGP, CST Licensed Marriage and Family Therapist The Harvey Institute San Diego, California Anne Cavett, MSN, MPH, FNP Quality Assurance Clinician National Abortion Federation (NAF) Nurse Practitioner, Planned Parenthood Metropolitan Washington Rita Driggers, MD Associate Professor, Gynecology and Obstetrics Medical Director, Maternal Fetal Medicine, Johns Hopkins Medicine, Sibley Memorial Hospital Baltimore, Maryland ACCREDITATION Mark J. Hathaway, MD, MPH Senior Technical Advisor for Family Planning Jhpiego An Affiliate of Johns Hopkins University Roxanne Jamshidi, MD, MPH Associate Professor of Obstetrics and Gynecology George Washington University Director of the Division of General Obstetrics and Gynecology The GW Medical Faculty Associates Baltimore, MarylandChristine A. Kessler, MN, CNS, ANP, BC-ADM, CDTC, FAANP Founder, Nurse Practitioner Metabolic Medicine Associates King George, Virginia Dane Menkin, CRNP Clinical Operations Manager Mazzoni Center Family & Community Medicine Philadelphia, Pennsylvania Sally K. Miller, PhD, APRN, FNP-BC, AGACNP-BC, AGPCNP-BC, FAANP Clinical Professor, Drexel University College of Nursing and Health Professions Nurse Practitioner, Nevada Health Centres Las Vegas, NV Jamille Nagtalon-Ramos, MSN, CRNP, WHNP-BC, IBCLC Associate Director, Women s Health Nurse Practitioner Program Advanced Senior Lecturer Faculty Advisor, Asian Pacific American Nursing Student Association Board Member, Pan-Asian American Community House University of Pennsylvania School of Nursing Philadelphia, Pennsylvania Lisa Noguchi, PhD Associate Professor, Epidemiology Johns Hopkins Bloomberg School of Public Health Senior Technical Advisor (Maternal Health), Zika Response Team Lead Maternal and Child Survival Program Amy Park, MD Associate Professor, Obstetrics and Gynecology Georgetown University School of Medicine Matthew F. Reeves, MD, MPH Chief Medical Officer, WomanCare Global Research Mentor, Fellowship in Family Planning and Contraception Washington Hospital Center Elizabeth G. Rudolph, JD, MSN, RN Attorney and President Jurex - Center for Legal Nurse Consulting Memphis, Tennessee James A. Simon, MD, CCD, NCMP, IF, FACOG Clinical Professor George Washington University Women s Health and Research Consultants Carolyn Sufrin, MD, PhD Assistant Professor Department of Gynecology and Obstetrics Johns Hopkins School of Medicine Department of Health, Behavior and Society Johns Hopkins Bloomberg School of Public Health Baltimore, Maryland In support of improving patient care, Contemporary Forums is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. PRECONFERENCE A PRECONFERENCE B MAIN CONFERENCE 1 NURSES AND NURSE PRACTITIONERS 4.25 ANCC/5.1 CA BRN contact hours 4.25 ANCC/ 5.1 CA BRN contact hours 16.5 ANCC/19.8 CA BRN contact hours ANCC CERTIFIED NPs AND CNSs This course provides a maximum of pharmacotherapeutic hours toward the required 25 hours needed for ANCC recertification. NCC CERTIFIED NURSES AND NURSE PRACTITIONERS Contemporary Forums is a continuing education organization recognized by the National Certification Corporation. NCC Maintenance Codes will be assigned before the conference and posted at 2 NURSE-MIDWIVES 4.25 hours 4.25 hours 16.5 hours 3 PHARMACOLOGY CREDIT FOR PRESCRIPTIVE AUTHORITY 2.25 hours No credit 8.5 hours available 4 PHYSICIANS 4.25 credits 4.25 credits 16.5 credits 5 PHYSICIAN ASSISTANTS 4.25 hours 4.25 hours 16.5 hours 6 OTHER PROFESSIONALS 4.25 hours 4.25 hours 16.5 hours 1 Contemporary Forums is approved by the California Board of Registered Nursing, Provider # (CA BRN contact hour = 50 minutes) 2 The Continuing Education Committee of the American College of Nurse-Midwives grants reciprocity status to the Accreditation Council for Continuing Medical Education (ACCME) for Category 1 offerings, providing the program is relevant to nurse-midwifery. Nurse-Midwives may report up to the listed hours of credit. 3 Rx indicates pharmacology content. Because states requirements vary, contact your Board of Nursing and certifying agency for the specifics of individual Rx requirements. 4 Contemporary Forums designates this Live Activity for a maximum of 25 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Joint accreditation is the leading model of interprofessional collaboration that helps improve healthcare through continuing education for the team by the team. Contemporary Forums is one of 42 continuing education organizations to receive Joint Accreditation. Application for cognate credits has been filed with the American College of Obstetricians and Gynecologists. Determination of credit is pending. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. 5 AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by ACCME or a recognized state medical society. Physician Assistants may receive a maximum of the listed hours of Category I credit for completing this program. 6 You will receive a Certificate of Attendance verifying your attendance at this course. Please comply with the guidelines of the appropriate boards, organizations or agencies in registering your credit. HOTEL ACCOMMODATIONS HOTEL SPECIAL GROUP RATES/DATES ROOM BLOCK DATES RESERVATIONS DoubleTree by Hilton Washington DC Crystal City 300 Army Navy Drive Arlington, VA (703) Single/Double $159 Book by August 19, 2017 September 18 to 23, 2017 (800) EXHIBITS We are inviting a group of companies and organizations with professionally relevant products, services or career opportunities to exhibit at this conference. The schedule provides time for you to address your particular areas of interest at each exhibit. FOR EXHIBIT SPACE AVAILABILITY OR ADDITIONAL INFORMATION: PHONE VISIT (925) exhibits@cforums.com ContemporaryForums.com/exhibitors

4 PRECONFERENCE SCHEDULES WEDNESDAY, SEPTEMBER 20, 2017 PRECONFERENCE A: Supporting Optimal Health for Women in Primary Care This Preconference presents challenges, conundrums and evidence-based Primary Care interventions for women. Challenges of great concern, such as hypertension, weight control, lipid management and thyroid disease will be discussed. Medical management strategies using multiple modalities to promote and maintain healthy female patients are analyzed to assess risk exposure and to initiate and manage appropriate therapies. Case studies are used to apply the principles presented. THIS PRECONFERENCE WILL ENABLE YOU TO: Analyze and apply current guidelines for the use of statin medications for ASCVD risk reduction. Analyze changes to practice in the management of hypertension as mandated by most current guidelines. Discuss how to effectively implement lifestyle intervention and pharmacotherapy to promote safe weight loss and maintenance. Address controversies surrounding diagnosing and treating overt and subclinical hyper- and hypothyroidism. 7:00 A.M. Preconference A Registration/Continental Breakfast 8:00 A Contemporary Look at Hypertension Guidelines: Case Study (Rx =.5 hr.) Miller 9:00 The Gut, The Brain and You: The New Frontier of Metabolic Medicine Kessler (Rx =.5 hr.) 10:00 Refreshment Break 10:15 Lipid Management in 2017 (Rx =.5 hr.) Miller 11:15 Untangling Thyroid Conundrums in Women s Health (Rx =.5 hr.) Kessler 12:15 P.M. Questions and Discussion (Rx =.25 hr.) 12:30 Adjourn PRECONFERENCE B: Female Sexuality Workshop from a Patient-Centered Perspective Sexuality is integral to whom we are as human beings, and, as health care providers, you have unique opportunities to support your patients sexual health across their lifespan. In this interactive workshop, our experts in the field of sexuality will share efficient, patient-centered techniques for initiating and conducting a comprehensive sexual health assessment. They will also present solutions to issues related to orgasm, desire and other sexual challenges. Join our speakers and your colleagues to learn a variety of practical evidence-based strategies supporting sexual health. THIS PRECONFERENCE WILL ENABLE YOU TO: List four cornerstones to sexual health. Discuss management options for partners with a desire mismatch. Explain the health benefits of addressing sexual function. Describe suitable methods to approach sexual health assessment for individuals and couples. 12:15 P.M. Preconference B Registration 1:15 Female Sexual Anatomy Cason 2:15 Sexual Health Assessment: Practical Approaches to an Essential Braun-Harvey Conversation Part I 3:15 Refreshment Break 3:30 Sexuality from a Couples Perspective Cason 4:30 Sexual Health Assessment: Practical Approaches to an Essential Braun-Harvey Conversation Part II 5:30 Questions and Discussions Faculty Panel 5:45 Adjourn Preconference C: Clinical Training for NEXPLANON (Etonogestrel Implant) (Space is limited to 40 participants.) Join your colleagues at a Clinical Training Program for NEXPLANON (etonogestrel implant). During this training sponsored by Merck, you will receive hands-on techniques for insertion and removal procedures, as well as implant localization techniques. Completion of this course will allow you to order the product from authorized distributors. The training is open to advanced practice clinicians with furnishing numbers or prescribing privileges in their state and to physicians only. Attendees are expected to be present for the entire training. Certificates of completion will not be issued to those who arrive late or leave early. It is Merck s policy to verify all clinicians practice, license and eligibility information in advance of the training. Merck will contact the attendee directly if there is a problem regarding this process. Continuing education credits are not offered for this Preconference. 7:00 AM Registration/Continental Breakfast 8:00 Clinical Training for NEXPLANON (etonogestrel implant) 11:00 Adjourn

5 MAIN CONFERENCE SCHEDULE THURSDAY, SEPTEMBER 21, :00 A.M. Main Conference Registration/Continental Breakfast/Exhibits 8:00 Client-Centered Contraception Counseling; Shared Decision Making Cason in Action (Rx =.5 hr.) 9:00 Treating Overweight and Obese Women in the GYN and Primary Care Simon Setting (Rx =.5 hr.) 10:00 Refreshment Break/Exhibits 10:30 Where the Need is Greatest! Doctors Without Borders Cares for Women Hathaway 11:30 Cytochrome P450 Drug Metabolism: Implications for Prescribing (Rx = 1 hr.) Miller 12:30 P.M. Questions and Discussion (Rx =.25 hr.) Faculty Panel 12:45 Lunch on Your Own 1:45 Getting to the Core of the Pelvic Floor (Rx =.5 hr.) Park 2:45 Test Your Legal I.Q. Rudolph 3:45 Refreshment Break/Exhibits 4:00 Controversies in Women s Health Screening: Top to Bottom Policar 5:00 Questions and Discussion (Rx =.25 hr.) Faculty Panel 5:15 Adjourn During each Concurrent Session, 3 topics are presented simultaneously in separate rooms. Sessions are limited in size and choices are assigned in the order received. Indicate your selections on the Registration Form. FRIDAY, SEPTEMBER 22, :00 A.M. Continental Breakfast/Exhibits 8:00 CONCURRENT SESSIONS #1 #11 Disability, Obesity and Aging: Successful Strategies for Challenging Cason Policar Pelvic Exams (Rx =.25 hr.) #12 Update on Screening for Genetic Abnormalities Driggers #13 Medication Abortion: Update on Best Practices (Rx = 1 hr.) Cavett 9:00 Session Change 9:15 CONCURRENT SESSIONS #2 #21 Management of Abnormal Uterine Bleeding (Rx =.5 hr.) Policar #22 Zika Virus Update: Infection Prevention and Family Planning Counseling (Rx =.5 hr.) Hathaway Noguchi #23 Be a Legal Nurse Consultant: What You Need To Know Rudolph 10:15 Exhibits/Refreshment Break 10:45 CONCURRENT SESSIONS #3 #31 Hormonal and Non-Hormonal Menopause Management (Rx =.75 hr.) Cason #32 Maternal Mortality in the USA and Across the Globe Hathaway #33 Preterm Birth: Prevention and Consequences (Rx = (Rx =.25 hr.) Driggers 11:45 Lunch on Your Own 1:00 P.M. CONCURRENT SESSIONS #4 #41 Pelvic Ultrasound for Pelvic Abnormalities Reeves #42 Pain Relief for Office GYN Procedures (Rx =.5 hr.) Jamshidi #43 Office Management of Breast Conditions (Rx =.25 hr.) Policar 2:00 Refreshment Break 2:15 CONCURRENT SESSIONS #5 #51 Pelvic Ultrasound: Find the IUD (Rx =.25 hr.) Reeves #52 Pregnancy Termination for Fetal Anomalies (Rx =.25 hr.) Jamshidi #53 Transgender Healthcare: Do s and Don ts Menkin 3:15 Adjourn SATURDAY, SEPTEMBER 23, :00 A.M. Continental Breakfast 8:00 Nutrition During Pregnancy: Good for Mother, Good for Baby (Rx =.25 hr.) Nagtalon-Ramos 8:45 Reproductive Health Care for Incarcerated Women (Rx =.5 hr.) Sufrin 9:30 Diagnosis and Management of Early Pregnancy Loss (Rx =.25 hr.) Jamshidi 10:15 Refreshment Break 10:30 Optimizing Postpartum Health and Patient-Centered Care for Breastfeeding Nagtalon-Ramos Moms (Rx =.25 hr.) 11:15 Innovations and Controversies in Long-Acting Reversible Contraception (Rx = 1 hr.) Cason 12:00 P.M. Questions and Discussion (Rx =.25 hr.) Faculty Panel 12:15 Adjourn Rx = Pharmacology Credit for Prescriptive Authority Excellent speakers on a variety of topics that anyone in women s health would be interested in. Cynthia Engel BSN. WHCNP - Saratoga Springs, NY

6 WOMEN S HEALTH AND OB/GYN CARE CONFERENCE INFORMATION Registrations must include full tuition payment to be accepted. Conference confirmation is sent via . Take advantage of special conference pricing and discounted hotel rates by registering early! TUITION Early Registration* (on/before August 9) Regular Registration (after August 9) OPTION #1 LIVE CONFERENCE PRECONFERENCES (A OR B) $170 EACH $190 EACH MAIN CONFERENCE NURSES, PAs, RESIDENTS^, OTHERS $565 $595 PHYSICIANS $665 $795 NEW GRADS + $395 $395 OPTION #2 RECORDED CONFERENCE Registration (on/before September 19) PRECONFERENCES AND MAIN CONFERENCE $340 * Postmarked or phone/fax/online registration and fees received on/before August 9, ^ Residents: To qualify, submit facility verification of status with registration. + New Grads (graduated 2014 or after): To qualify, submit proof of graduation date with registration. Your tuition includes continental breakfasts, refreshment breaks, Certificate of Attendance and online access to posted presentation handouts before and after the conference 4 EASY WAYS TO REGISTER ONLINE Visit us 24/7 at: ContemporaryForums.com PHONE (800) Monday Friday 8 am 5 pm, Pacific Time HAVE YOUR CREDIT CARD READY FAX (800) MAIL Contemporary Forums Attn: Registration Office 151 Innovation Drive Irvine, CA ATTENDANCE RULES Registrations may not be shared. Children of any age and spouses may not attend sessions. Audio recording, video recording and livestreaming of speakers, sessions and/or attendees is strictly prohibited. Medical information presented at this conference is intended for educational purposes only and should not be considered medical advice.. GROUP DISCOUNTS Tuition discounts are given to groups of 3 or more registering for the complete conference. $25 per person discount for 3 or 4 in a group; $45 per person discount for 5 or more in a group. To qualify for the group discount, all registration information must be complete for all group members, payment included and forms sent together. If faxing, list all group members on cover sheet. Subtract the discount from the tuition fee. Groups may not be formed after individual registrations are received. CANCELLATION POLICY Cancellations must be made by phone or in writing. A $75 processing fee will apply. No refunds will be issued for cancellations received or postmarked on/after August 20, However, tuition paid, less the $75 processing fee, may be applied to a future Contemporary Forums conference of equal or greater value. No refunds for no shows. If this meeting is cancelled for any reason, including labor strikes or acts of God, liability is limited to a full refund of registration fees. ADA NEEDS & SPECIAL REQUESTS If you require special arrangements at this conference, call (800) , at least 30 days prior to the conference. METHOD OF PAYMENT Make payment by check (payable to Contemporary Forums and enclose with Registration Form), Visa, MasterCard, Discover, American Express or Purchase Order. A $30 fee is charged for any returned check. Personal checks are NOT accepted at the conference. Purchase Orders must be received with registration by the conference date and include the P.O. number, invoice address, tuition, approval signature, contact name, address and phone number. QUESTIONS? Contact Contemporary Forums at (800) , M F, 8 am 5 pm (Pacfic Time) or info@cforums.com UPDATES If you are not currently receiving information via about our conferences or Contemporary Forums Online website, please go to ContemporaryForums.com to join our mailing list or to update your address. You will then be notified of all conferences as soon as they are announced, as well as have access to all special promotions. All addresses are for Contemporary Forums use only.

7 CONFERENCE LOCATION WOMEN S HEALTH AND OB/GYN CARE WASHINGTON, DC SEPTEMBER 20-23, 2017 Discover with its unique blend of politics, diplomacy and history. Tour the impressive Capitol Building and the original Supreme Court Chambers, where landmark decisions are made. You won t want to miss the Jefferson Memorial, Lincoln Memorial, Washington Monument and Martin Luther King Memorial to get a glimpse into the lives of the great men who formed the basic concepts of our democracy. The Vietnam, Korean War and FDR Memorials are vivid reminders of key moments in our nation s history. The internationally famous Smithsonian Institution is constantly expanding its collection, including the unique Museum of Natural History and the impressive Air and Space Museum. At the National Archives, displays of our nation s most significant political documents (the Declaration of Independence, Constitution, and Bill of Rights) are found. Dazzling performances at the Kennedy Center, street festivals and sidewalk cafes in Adams-Morgan, elegant shops, restaurants and historic townhomes in Georgetown make Washington a city to celebrate and explore CONFERENCE CALENDAR (PARTIAL LISTING) NEONATAL PHARMACOLOGY SAN DIEGO, CA APRIL 6-8, 2017 HEALTH CARE FOR WOMEN OVER 40 SCOTTSDALE, AZ APRIL 24-26, 2017 PSYCHIATRIC NURSING NASHVILLE, TN APRIL 26-29, 2017 PSYCHIATRIC NURSING LAS VEGAS, NV MAY 17-20, 2017 PERINATAL DILEMMAS JACKSON HOLE, WY JUNE 25-28, 2017 PHARMACOLOGY FOR ADVANCED PRACTICE CLINICIANS SAN FRANCISCO, CA JULY 24-30, 2017 HOT TOPICS FOR PRIMARY CARE SAN DIEGO, CA JULY 26-29, 2017 PHARMACOLOGY FOR ADVANCED PRACTICE CLINICIANS NASHVILLE, TN SEPTEMBER 11-17, 2017 WOMEN S HEALTH AND OB/GYN CARE WASHINGTON, DC SEPTEMBER 20-23, 2017 NORTH AMERICAN CONGRESS OF CLINICAL TOXICOLOGY VANCOUVER, BC - CANADA OCTOBER 11-15, 2017 WOMEN S HEALTH UPDATE 2017 PRESENTED BY ESSENTIAL LOS ANGELES, CA OCTOBER 23-24, 2017 ACCESS HEALTH + CONTRACEPTIVE TECHNOLOGY PEDIATRIC CRITICAL CARE & EMERGENCY NURSING LAS VEGAS, NV OCTOBER 31-NOVEMBER 3, 2017 CONTRACEPTIVE TECHNOLOGY ATLANTA, GA NOVEMBER ADVANCED CRITICAL CARE & EMERGENCY NURSING LAS VEGAS, NV NOVEMBER 1-4, 2017 PHARMACOLOGY FOR ADVANCED PRACTICE CLINICIANS LAS VEGAS, NV NOVEMBER 6-12, 2017 THE FETUS & NEWBORN LAS VEGAS, NV NOVEMBER 8-11, 2017 NEW! SPANISH MEDICAL TERMINOLOGY FOR HEALTH CARE PROFESSIONALS! Contemporary Forums has developed an interactive, self-paced online course to help teach the novice or native speaker Spanish medical terminology. You will earn a Certificate of Completion and Continuing Education credit when all modules are completed. Even if you are fluent in Spanish, you will learn the appropriate vocabulary for human anatomy and medical terminology. Visit ContemporaryForumsOnline.com for more information or call CONTEMPORARY FORUMS 151 INNOVATION DR. IRVINE, CA PLEASE SHARE THIS WITH YOUR COLLEAGUES.

8 WOMEN S HEALTH AND OB/GYN CARE REGISTRATION FORM FILL OUT, DETACH, AND RETURN THIS FORM WITH FULL PAYMENT TO: CONTEMPORARY FORUMS ATTN: REGISTRATION OFFICE 151 INNOVATION DRIVE IRVINE, CA REGISTRATION INFORMATION * Name, License/Degrees, Place of Employment, City, and State appear on your name badge at the conference. *First Name *Last Name *License/Degrees *Place of Employment *Street Address REGISTER ONLINE 24/7 AT: CONTEMPORARY FORUMS.COM FAX THIS FORM TO: (800) CALL: (800) M-F 8:00 AM 5:00 PM PACIFIC TIME REGISTER TO ATTEND: #2Y OPTION 1 Preconference A: Supporting Optimal Health for Women in Primary Care (September 20 - Morning) Preconference B: Female Sexuality Workshop from a Patient-Centered Perspective (September 20 - Afternoon) Preconference C: Clinical Training for NEXPLANON (Etonogestrel Implant) (September 20 - Morning) Main Conference (September 21-23) OR OPTION 2 Recorded Conference via ContemporaryForumsOnline.com CONCURRENT SESSIONS SELECTION Please indicate the numbers of your choices below. *City Attendee s (Required) *State For confirmation, receipt, handouts prior to conference, and access to your Certificate of Attendance. Provide your best address as some s are filtered and blocked. Home Address City State Zip Daytime Phone(s) #1 (8:00 a.m.) #2 (9:15 a.m.) #3 (10:45 a.m.) #4 (1:00 p.m.) #5 (2:15 p.m.) PAYMENT SUMMARY (#2Y) EARLY FEE POSTMARK DEADLINE: AUGUST 9, 2017 Main Conference Tuition $ *Group Discount (See Registration Information) -$ Preconference A Tuition +$ PROFESSIONAL PROFILE Choose ONE category in each section that best applies to you. If you have multiple roles, select the one that occupies the majority of your time. Use Other only if none of the choices apply to you. SPECIALTY Adult Health Case Management Emergency Care Family Practice/Primary Care Geriatrics Internal Medicine Women s Health Other: CLINICAL SETTING HMO Military Clinic/Hospital Multi-Specialty Group Physician Office Primary Care Clinic/Office Private Practice Public Health/Community Clinic Retail Clinic Rural Health Center University/Academia Other: LICENSE/PROFESSION FNP/ANP MD/DO NP-Women s Health/OB/GYN PA/PA-C RN/RNC Other: HIGHEST DEGREE HELD Student/Resident Associate Degree Bachelor s Degree Master s Degree Doctoral Degree Medical Degree NP Certificate Other: YEARS IN PRACTICE Preconference B Tuition +$ OR Recorded Sessions via ContemporaryForums $ Online.com TOTAL PAYMENT ENCLOSED $ *Registration forms must be sent in together. See Conference Information. Check/Money Order Payable to Contemporary Forums Credit Card # Exp. Date Print Cardholder s Name Payer Phone # Payer *(3 digit Security Code on the back of the card. Amex: 4 digit code on the front of the card.) We collect this data in order to provide you with information about Contemporary Forums and conferences. If you prefer not to receive further information, please see our privacy policy at ContemporaryForums.com. CVC* By registering for this conference, I acknowledge and agree to adhere to Contemporary Forums onsite policies, which include: Audio recording, video recording and livestreaming of speakers, sessions and/or attendees is strictly prohibited.