SAN FRANCISCO NEUROLOGICAL SOCIETY

SFNS / Kaiser Neurosciences Joint Dinner Meeting

 Thursday November 3, 2005

6:00 – 6:30 PM Reception / 6:30 – 7:30 PM – Dinner
7:30 – 8:30 PM Presentation 

The Atrium, 101 California Street, San Francisco

Normal Pressure Hydrocephalus: 

Review of Diagnostic Procedures and Surgical Treatment Outcomes

Accreditation Statement:

The San Francisco Neurological Society is accredited by the Institute of Medical Quality and the California Medical Association to provide continuing medical education for physicians. The San Francisco Neurological Society takes responsibility for the content, quality and scientific integrity of this CME activity.

Designation Statement:

The San Francisco Neurological Society designates this educational activity for a maximum of 1 hour of Category 1 credit toward the California Medical Association's Certification in Continuing Medical Education and the AMA’s Physician Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. 

 Who Should Attend:

Neurologists, neurosurgeons, neuroradiologists, residents and other physicians interested in research and clinical advances in the neurosciences. This is an activity offered by a CMA-accredited provider. Physicians attending this course may report up to 1 hour of Category 1 credit toward the California Medical Association Certificate in Continuing Medical Education and the American Medical Association’s Physician’s Recognition Award. 

Educational Objectives: Upon completion of this session, participants should be able to discuss:

1. Commonly used diagnostic procedures for NPH;
2. Options for the surgical treatment of NPH; and
3. Measures of outcomes and current status of literature for NPH.

REGISTRATION FEES: SFNS Members & Guests: $65 per person; Non-Members & Guests: $75 per person

·         Register online (and/or renew/enroll SFNS Membership dues online) and make secure credit card transactions or print a personalized invoice to mail in with a check - www.sfneurological.org

·         Fax your registration form and credit card information to the NEW SF Neurological Society (415) 457-3629  

·         Mail the registration form with a check made out to the NEW SFNS Office: SF Neurological Society, 155 Canal Street, Suite #20, San Rafael, CA 94901

Acknowledgements:

The San Francisco Neurological Society gratefully acknowledges support for its 2005 educational activities with unrestricted educational grants from the following generous contributors:

PLATINUM SUPPORTERS:  Teva Neurological Sciences, Allergan, Novartis

San Francisco Neurological Society Joint Kaiser Neurosciences Dinner Meeting Registration Form

We encourage you to register online (and/or renew/enroll SFNS Membership dues online) and make secure credit card transactions or print a personalized invoice to mail in with a check - www.sfneurological.org.

First Name                                                Initial              Last Name                                                                            

Degree                             Specialty r Neurology r Neurosurgery r Neuroradiology r Neuropathology r Other

Institution                                                            Dept/Mailstop                                                                                   

Street Address/Suite                                                                                                                                                   

City                                                                   State                 Zip Code                                                                  

Phone                                                                             Fax                                                                                    

*E-mail: (VERY IMPORTANT)                                                                                                                                

                                                                                 Rec’d by October 27       After October 27          2005 Dues Renewal

SF Neurological Society Members & Guests:

                 Dinner Meeting (1 CME Credit for physicians)                 r $65.00              r $75.00           r $75.00     

Non-Member Physicians & Guests:

                 Dinner Meeting (1 CME Credit for physicians)                 r $75.00              r $85.00
Payment Method: q Visa q Mastercard q American Express q Check                      Payment Total: $                          

Card Number                                                                                                   Expiration Date                                     

Cardholder Name                                                                  Signature                                                                         

CVV CODE: _______The verification number is a 3 or 4 digit number printed on your card. If you are using a Visa, Mastercard, or Discover card, it is a 3 digit number that appears to the right of your card number. If you are using an American Express card, the verification number is a 4 digit number that appears on the front of your card, above and either on the left or right of the card.

Name(s) of Guest(s): (please print)