SECTION C: Ticketed Courses/Events (check box at left, indicate number of tickets, and total at right.) Please note: All course/event fees are in U.S. dollars. Availability is limited for ticketed courses/events. Visit
members.perio.org/am2018 for the most up-to-date information and availability.
SATURDAY, OCT. 27
o IW2: Insurance Workshop: The Science of Coding: IW2A-D (all four sessions at discounted rate shown) o IW2A: Insurance Workshop: The Science of Coding: Non-Surgical Periodontal Therapy o EV1: The Periodontist in Turbulent Times: Systems to Stay Relevant o EV3: Dental Hygiene Symposium
o HW1: Hands-On Workshop: Vertical Ridge Augmentation
o HW2: Hands-On Workshop: CBCT-Based Guided Treatment Planning and Advanced Surgical Therapies o HW3: Hands-On Workshop: Full-Arch Immediate Load Conversion Prosthesis o HW4: Hands-On Workshop: Treating Implant Complications o EV5: Predoctoral Directors Business Meeting o IW1: Insurance Workshop: Medical Coding
o IW2B: Insurance Workshop: The Science of Coding: Bone Grafting for Edentulous Areas o IW2C: Insurance Workshop: The Science of Coding: Full-Arch Immediate Implant Treatment o IW2D: Insurance Workshop: The Science of Coding: Anesthesia SUNDAY, OCT. 28
o IW3: Insurance Workshop: Primer 101 and 201 (both sessions IW3A-B at discounted rate shown) o IW3A: Insurance Workshop: Periodontal Coding Insurance Primer 101 o EV11: Postdoctoral Directors Business Meeting
o EV6: Student and New Periodontist Session: Pearls and Pitfalls o IW3B: Insurance Workshop: Periodontal Coding Insurance Primer 201 o EV8: Student and New Periodontist Reception MONDAY, OCT. 29
o EV12: AAPF Estate Planning Breakfast Time
8 a.m. - 4 p.m. 8 - 9:30 a.m. 8 a.m. - noon 8 a.m. - 5 p.m. 8 a.m. - 5 p.m. 8 a.m. - 5 p.m. 8 a.m. - 5 p.m. 8 a.m. - 5 p.m. 8:30 - 10 a.m. 9 a.m. - noon 10 - 11:30 a.m. 12:30 - 2 p.m. 2:30 - 4 p.m. Time
9 a.m. - 4 p.m. 9 a.m. - noon
10:30 a.m. - noon 12:30 - 3 p.m. 1 - 4 p.m. 7 - 9 p.m.
Time 6:30 - 8 a.m.
o EV13: VIP Experience (full registration required) SECTION C: Ticketed Courses/Events Total
Complimentary with full meeting registration
1 - 3 p.m. 1 - 3 p.m N/A
$275 $80
Complimentarya $149
$1,500 $1,400 $1,200 $1,400
Complimentaryc $250 $80 $80 $80
Cost $450 $250
Complimentaryf Complimentaryd $250
Complimentaryd Cost
Complimentary
o EV2: Results of the World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions 10:45 a.m. - 12:15 p.m. Complimentarya o EV10: Postdoctoral Educators Workshop o EV4: Predoctoral Educators Workshop
Complimentarye Complimentaryb $200
$
The AAP cautions participants for CE activities about the potential risks of using limited knowledge when incorporating new techniques and procedures in their practice. a
residency within the last two years
bComplimentary for AAP member invitees with predoctoral educator designation cComplimentary for AAP member invitees with predoctoral director designation dComplimentary for AAP Student members and AAP Active members who have completed
Liabilty Waiver And Payment Information (required)
o By registering for this meeting, I acknowledge and assume all risks associated with participation in the meeting and any associated events and/or activities, without limitation. I hereby knowingly waive and release the American Academy of Periodontology (AAP), the American Academy of Periodontology Foundation (AAPF), their employees, directors, officers, volunteers, agents, and successors from any and all claims, liabilities, or causes of action, including without limitation, death, bodily injury, property damage, or other loss or damages arising from my participation in this meeting and associated events and/or activities.
Signature Photograpy Disclaimer (required)
o The American Academy of Periodontology (AAP) and the American Academy of Periodontology Foundation (AAPF) reserve the right to photograph, videotape, and otherwise capture events and attendees of this conference. I hereby grant the AAP and AAPF the nonexclusive, perpetual right to use and publish my name, likeness, image, and voice in all forms and all media or forms of communication whether now existing or hereafter developed.
Signature
eComplimentary for AAP member invitees with postdoctoral educator member designation fComplimentary for AAP member invitees with postdoctoral director designation gComplimentary for AAP International members and International Student members
Payment Information TOTAL AMOUNT DUE FROM SECTIONS A-C
oI have enclosed a check, drawn in U.S. funds (from a U.S. bank), in the amount of
o Please charge my credit card in the amount of o MasterCard o Visa o American Express o Discover
*Only credit card payments may be faxed. Your card will be charged upon receipt of this form. Card Number CVC Code
EXP Date (MM/YY)
Print Card Holder’s Name Signature
Save time and register online at
members.perio.org/am2018. $ _________
$ __________ $ __________
Quantity $ Total Quantity $ Total Cost Quantity $ Total
Date
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