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Registration Form Ticket Order Rates Seminar* Free Professional Fee** Includes CME’s $30 per person TOTAL DUE $ Check enclosed. Make check payable to: Epilepsy Alliance Ohio Visa MasterCard American Express Discover Card Number Expiration Date Name on Card Signature CCV# *Includes seminar, continental breakfast, and lunch. **Professional Fee $30 includes seminar, lunch and CME’s. Premier Health is committed to improving your quality of health of every stage by improving your access to top-tier health services, expertise, and information. Epilepsy Alliance Ohio is dedicated to supporting those impacted by epilepsy in local comunities by confronting the spectrum of challenges created by seizures. FRIDAY APRIL 17, 2020 Miami Valley Hospital Berry Building Auditorium 1 Wyoming Street, Dayton Ohio 45404 FRIDAY APRIL 17, 2020 8:00 AM – 2:30 PM PRESENTED IN PARTNERSHIP WITH Living Epilepsy WITH 895 Central Avenue Suite 550 Cincinnati, OH 45202

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Page 1: TOTAL DUE - Epilepsy Alliance Ohio - Real Epilepsy … › wp-content › uploads › 2020 › 02 › 2020...CCV# *Includes seminar, continental breakfast, and lunch. **Professional

Registration Form

Ticket Order Rates

Seminar* Free

Professional Fee**Includes CME’s

$30 per person

TOTAL DUE $

❏ Check enclosed. Make check payable to:Epilepsy Alliance Ohio

❏ Visa

❏ MasterCard

❏ American Express

❏ Discover

Card Number

Expiration Date

Name on Card

Signature

CCV#

*Includes seminar, continental breakfast, and lunch.

**Professional Fee $30 includes seminar, lunch and CME’s.

Premier Health is committed to improving your quality of health of every stage by improving your access to top-tier health services, expertise, and information.

Epilepsy Alliance Ohio is dedicated to supporting those impacted by epilepsy in local comunities by confronting the spectrum of challenges created by seizures.

FRIDAY APRIL 17, 2020

Miami Valley HospitalBerry Building Auditorium

1 Wyoming Street,Dayton Ohio 45404

FRIDAY APRIL 17, 2020

8:00 AM – 2:30 PM

PRESENTED IN PARTNERSHIP WITH

LivingEpilepsy

WITH

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Page 2: TOTAL DUE - Epilepsy Alliance Ohio - Real Epilepsy … › wp-content › uploads › 2020 › 02 › 2020...CCV# *Includes seminar, continental breakfast, and lunch. **Professional

Agenda Registration Form

Name

Address

City

State Zip

Phone

Fax

E-mail

Names of Seminar Attendees:

1. 2. 3.

4.

Please select one topic in each concurrent session that you would like to attend:

Reserve Now! Reservations LimitedPayment accepted throughPhone 513-721-2905 | Fax 513-721-0799Online www.epilepsy-ohio.orgMail checks payable Epilepsy Alliance Ohio, 895 Central Ave. Suite 550 Cincinnati, Oh 45202

Questions? Call 877-804-2241

Please fill out both sides of registration form orvisit www.epilepsy-ohio.org to register online.

Registration deadline is April 15, 2020. Registration is available at the door as space allows; however, no food will be available for same day registration. Please notify us of any dietary restrictions or if you have any special needs (interpreter services).

10:30–11:15 Sleep and Epilepsy Employment and Driving Issues

11:15–Noon Epilepsy, Depression and Memory Finding the Right medication

11:15AM – Noon | CONCURRENT SESSIONS

Session 3 | Cognition and Epilepsy Fadi Tayim, PhD — This session will explore the most common cognitive complaints experienced by patients with epilepsy, as well as some strategies to help.

Session 4 | Finding the Right Medication Michael Kentris, DO — This session will explain the way doctors diagnose and treat seizures with medication.

Noon – 12:45 PM | EXHIBITS AND LUNCHEON

12:45 – 2:00 PM | GENERAL SESSION

CBD and Epilepsy; What You Need to Know Timothy Saurer, PhD — This session will give a brief history of the use of CBD and its use in treating seizures. Its will also explore issues surrounding medical dispensaries in the state of Ohio.

8:00 – 8:40 AM | REGISTRATION Registration, Exhibits & Continental Breakfast

8:40 – 9:00 AM | WELCOME & REMARKS Premier Health Epilepsy Alliance Ohio

9:00 – 10:15 AM | GENERAL SESSION

Overview of Comprehensive Epilepsy Center, Surgical Options and O�ering Hope Barbara Philips, MD — Several patients will share their experiences.

10:15 – 10:30 AM | BREAK 10:30 – 11:15 AM | CONCURRENT SESSIONS

Session 1 | Sleep and Epilepsy Cassandra Milling, MD — In this presentation we will discuss how sleep is connected to seizure control. We will discuss different stages of sleep and therapeutic intervention.

Session 2 | Employment, Driving and Legal Issues Doug Simmons, LSW — This session will discuss the challenges that seizures can present to work and driving and some practical ways to overcome these obstacles.

PLEASE NOTE

2:00 – 2:30 PM | GENERAL SESSION

Questions I forgot to ask—Panel Barbara Philips, MD Premier Health

Michael Kentris, DO Premier Health

Doug Simmons, LSW Epilepsy Alliance Ohio

Steve Hutton, Ed.D. Epilepsy Alliance Ohio

Timothy Saurer, PhD Greenwich Biosciences

— The Panel will provide views and advice on concerns expressed by audience members will be reviewed.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Wright State University (WSU) and Premier Health. WSU is accredited by the ACCME to provide continuing medical education for physicians.

WSU designated this Live activity for 4.50 AMA PRA Category 1 Credits™. Physicians should only claim only the credit commensurate with the extent of their participation in the activity