-- Focus On Females 5th Annual South Tampa Women's Health Care Symposium --

Legal Disclaimer

Please fill out the form below in order to register for Focus On Females. If you prefer, we have posted a PDF file here that you can download and fill out and mail in.

Click here to download the pdf document

PLEASE NOTE: To avoid duplicate registrations errors, we have made the First Name, Last Name & email address a unique field. You will only be allowed to register one person using a specific first name, last name, and email address. If you need to register additional individuals you will need to use their name with your email address or they will need to register under their email address. You can register same family members by just changing the name fields only. Thank you.

* First Name:

* Last Name:

Address:

Apt / Suite Number:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

* Email Address:

May we send you a post event e-mail questionnaire?
Yes No

Do we have your authorization to provide your e-mail address to participating specialists & physicians?
Yes No

Lunch Option:

Would you like to have a lunch reserved for you prepared by the Tampa Convention Center Catering Service? Lunch would include:

Mixed green salad with choice of dressing
Roasted tri color quinoa with vegetable
Roasted chicken quarters garlic au jus
Chef’s Choice Bread
Choice of Water Bottle or Canned Soda
Additional items to be available at the register for sale to include whole fruit and bags of baked lays chips.

Total Price with Tax per person: $ 9.00 (cash, debit, visa or mastercard) (Pay when you receive lunch)
Yes No

PLEASE NOTE: Doors will open at 7:30am and we invite you to visit our sponsor and exhibitor booths before the seminars begin at 9:00am.

Seminar Schedule Preferences - Please select the seminars you would like to attend (only 1 per time slot).

9:00 a.m.

Cardiac Disease / Eric E. Harrison, MD

Colon Cancer / David Shibata, MD

Cervical, Ovarian & Uterine Cancer / Jesus Gonzalez Bosquet, MD

Nutrition & Cancer Prevention / Nicole Carswell, MS, RD, LD/N

* Obesity in Women / Wilfred Aguila, MD

Screening for Breast Cancer / Tracy Halme, MD

None

10:30 a.m.

Bladder Incontinence / Lennox Hoyte, MD

Menopause / Madelyn E. Butler, MD

Fertility and Family / Shayne Plosker, MD

Migraines & Other Headaches / Maria-Carmen Wilson, MD

* Financial Wellness / Kimberly Overman of the Financial Well

None

1:30 p.m.

Reversing Dry Eye / Steven L. Maskin, MD

Breast Cancer / Christine Laronga, MD, FACS

Sleep Disorders / Stephen M. Kreitzer, MD

Osteoporosis / Joel Silverfield, MD

* ImageLift.com "Looking More Youthful Without General Anesthesia" / Richard D. Castellano, MD

Heart Care and Disease Prevention for Women / Connie Ramos, ARNP

None

3:00 p.m.

Skin Cancer / Mary H. Lien, MD

Diabetes / Roland M. Lajoie, MD

Raising Your Child Without Going Crazy / Karen A. Goldberg, MD

Allergies and Asthma / Dennis K. Ledford, MD

Gynecological Cancer - What You Need to Know / Tyler Kirby, MD

None

* Seats are first come first serve

Do you work part-time or full-time?

Full Time Part Time Neither

Household Income:

Age:

Gender:

* How did you hear about the Symposium?

Press the Submit button to complete registration process.