2013 GSR REGISTRATION ______________________________________________________ Name (Req.)

Credentials (Req.)

______________________________________________________ Practice Name (Req.)

______________________________________________________ Address/Suite (Req.)

______________________________________________________ City/State/Zip (Req.)

______________________________________________________ Cell Phone

Work Phone (Req.)

______________________________________________________ E-mail Address (Req.)

REGISTRATION *Dues must be paid in order to receive member rate Early

Select Category Bird GSR MD/DO Member Rate ....................... $25 GSR PA/NP Member Rate ......................... $25 GSR Physician in Training Member ........... 0 MD/DO Non-Member Rate ................... $150 PA/NP Non-Member Rate ......................... $100 Physician-in-Training Non-Member .......... $50

After May 21

$75 $75 $50 $200 $150 $100

Offering 14 CME Credits

ACTIVITIES

Thursday, June 13 Welcome Reception # attending ____ Friday, June 14 Lunch # attend ___ adults, ___ children (6-12), ___ children (under 5) Dinner # attend ___ adults, ___ children (6-12), ___ children (under 5)

2013 Annual Meeting

PAYMENT METHOD Check # _______

*Please make checks payable to GSR

AMEX

VISA

$

TOTAL AMOUNT

MASTERCARD

____________________________________________ Name on Card (Req.)

____________________________________________ Billing Address/Suite (Req.)

____________________________________________ Billing City/State/Zip (Req.)

____________________________________________

6134 Poplar Bluff Circle, Suite 101 Norcross, GA 30092 (770) 613-0932 ph (305) 422-3327 fax www.garheumatology.org

Saturday, June 15 Lunch # attend ___ adults, ___ children (6-12), ___ children (under 5)

June 13 - June 15 The Ritz Carlton Lodge Reynolds Plantation Lake Oconee, GA

Register Today Online or the Enclosed Form

Credit Card Number (Req.)

____________________________________________ Expiration Date (Req.)

CVV Code (Req.)

www.garheumatology.org

Georgia Society of Rheumatology ANNUAL MEETING & SCIENTIFIC ASSEMBLY AGENDA

View all meeting details at www.garheumatology.org

SATURDAY, JUNE 15 7:00 - 8:00AM Breakfast & Exhibit Viewing

THURSDAY, JUNE 13 7:00 - 8:30PM Welcome Reception

7:00AM

Registration Desk Opens

8:00 - 9:00AM

General Business Meeting Members Only

9:00 - 10:00AM

Large Vessel Vasculitis: GCA and Takayasu’s. Are they Part of One Disease Spectrum? Gary S. Hoffman, MD, MS

8:30 - 9:30PM Executive Committee Meeting FRIDAY, JUNE 14 7:00 - 8:00AM Breakfast & Exhibit Viewing 7:00AM

Registration Desk Opens

8:00 - 9:00AM

Systemic Lupus Joseph Craft, MD

10:00 - 10:30AM Fellow Presentation 10:30 - 11:00AM Break & Exhibit Viewing

9:00 - 10:00AM Rheumatoid Arthritis Jonathan Coblyn, MD

11:00 - 12:00PM Rheumatoid Arthritis 2 Jonathan Coblyn, MD

10:00 - 10:30AM Break & Exhibit Viewing

12:00 - 12:30PM Fellow Presentation

10:30 - 11:30AM Sjogren’s Alan N. Baer, MD, FACP

12:30 - 1:30PM Lunch & Exhibit

11:30 - 12:00PM Fellow Presentation 12:00 - 1:00PM Lunch & Exhibit & Poster Viewing 1:00 - 2:00PM

Immunology Review Joseph Craft, MD

2:00 - 2:30PM

Fellow Presentation

2:30 - 3:00PM

Break & Exhibit Viewing

3:00 - 5:00PM

Georgia Committee on Rheumatologic Care (CORC) Program John Goldman, MD - Moderator

6:30PM

Attendee Dinner Reception (Families and guests welcome)

1:30 - 2:30PM

Gout Alan N. Baer, MD, FACP

2:30 - 3:30PM

Determinants of Organ Targeting in Vasculitis Gary S. Hoffman, MD, MS

3:30 - 4:00PM

Break & Poster & Exhibit Viewing

4:00 - 6:00PM

Short Course Musculoskeletal Ultrasound Course

6:00PM

Meeting adjourned

NOTE: This agenda is subject to change. In a few cases, the topic being presented is listed below and the presentation title will be updated when known.

HOTEL INFORMATION

The Ritz-Carlton Lodge, Reynolds Plantation One Lake Oconee Trail, Greensboro, Georgia 30642 http://www.ritzcarlton.com/en/Properties/ReynoldsPlantation/ Default.htm A block of guest rooms and suites have been reserved at the Ritz Carlton Lodge at the reduced rate of $225. Reserve your room by calling (800) 241-3333 and advise the registration agent that you are attending the Georgia Society of Rheumatology Annual Meeting to receive the above room rate. The room block expires on 5:00PM, April 29, 2013. *All Room Rates Subject to Applicable Sales Tax (11% State Tax and Local Lodging Tax)

ACCREDITATION

This activity has been planned and implemented in accordance with the Essential and Standards of the Accreditation Council for Continuing Medical Education. The Southern Alliance for Physician Specialties CME (SAPS CME) is accredited by the Medical Association of Georgia to offer continuing medical education to physicians. The Southern Alliance for Physician Specialties CME designates this live activity for a maximum of 14.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Register Four Ways: 1. U.S. Mail | 2. Fax: (305) 422-3327 | 3. Phone: (770) 613-0932 | 4. Online: www.garheumatology.org