WSPMA ANNUAL MEETING & SCIENTIFIC SEMINAR
REGISTRATION INFORMATION & FORM

APRIL 20-22, 2012
Suncadia Resort in Cle Elum, WA
13 CME

Things to know about registration for the annual meeting:

Registration: Up to three doctors and/or assistants can register per form (below).

State Seminar Schedule:
      Doctor's Conference Schedule
      Assistant's Conference Schedule

Meals: All registrations include all meals.

Registration Dates/Refunds: No refunds after April 1st. No registrations accepted after April 15th or at the door.

Washington Residents in Training: Can have registration fees waived - but you must register by April 1st.

Payment: After filling out the form below click "Submit" and proceed to online payment (through PayPal) using a PayPal account or ANY credit card.

Friday Morning Insurance Update:
ALL NEW info this year. FREE to all WSPMA Members & Staff
On Friday morning 8:30-12:00 we are offering an insurance update with Dr. Rick Horsman presenting all the latest information from the Carrier Advisory Committee meetings including these topics & more. You can even submit specific questions now via email to nwpodiatry@aol.com.
              * What’s new for 2012, ICD-9, CPT, HIPAA 5010
              * Injections
              * Unna Boots, inc new code for “multilayered products”
              * Wound care
              * Orthotic devices and billing for purposes of denial
              * Medicare policies
              * ICD-10 Guidelines & necessary documentation
              * Mary Kaempfe from L & I will be present to talk about the new provider network and what you must do to participate.

WSPMA Business/Membership Meeting: Saturday from 10:15am - 12:45pm. You don't have to register to attend the membership meeting - please come!

Hotel Reservations: We are returning to the beautiful Suncadia Resort in Cle Elum, WA. This fabulous facility is offering a group room rate of $175/night (mention Washington Podiatry Association). It is a wonderful family facility with large pool and indoor slides/workout facility. There are lovely walking/biking trails and weather permitting golf & tennis! Make your hotel reservations ASAP.

1st Doctor/Assistant's Name (As you would like it to appear on your name tag):

2nd Doctor/Assistant's Name (As you would like it to appear on the name tag):

3rd Doctor/Assistant's Name (As you would like it to appear on the name tag):

ALL REGISTRATIONS WILL BE CONFIRMED BY EMAIL
Primary Contact's Email
:


Registration Fees (meals are included including the Saturday Banquet))
       
DOCTORS
WSPMA Member: $195 x = $     
Other APMA Member: $295 x = $    
Non-APMA Member: $395 x = $    
     
ASSISTANTS
Assistants*: $165 x = $       
     
CHOOSE ALL THAT APPLY
Are you bringing a guest to lunch Friday? $15 USD x = $  
Are you bringing a guest to lunch Saturday? $15 USD x = $  
Are you bringing a guest to the Banquet Saturday? $35 USD x = $  
     
     
*Same fee for all assistants this year. Please consider having your assistant become a WSPMAA member. $45 Dues allows him/her to receive valuable information all year long.
       
TOTAL of all Fees: $ ** (please fill in)  
** Please write down your total fees - You will need to enter this into PayPal when you pay your fees during the next step.