Focus on Females 1st Annual South Tampa Women's Healthcare Symposium

Please fill out the form below in order to register

First Name*

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May we send you a post event e-mail questionnaire?

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Do we have your authorization to provide your e-mail address to participating specialists & physicians?

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Admission is $35.00

Number of Tickets

x $35.00 each =

Do you prefer a vegetarian meal?

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

9 a.m.

	Cardiac Disease / Matt Glover, MD
	Colon Cancer / David Shibata,MD
	Cervical, Ovarian & Uterine Cancer / Giselle Ghurani, MD
	None

10:30 a.m.

	Migraines & Other Headaches / Susan Steen, MD
	Skin Cancer / RobertTawil, MD
	Menopause / Madelyn Butler, MD
	None

1:30 p.m.

	Osteoporosis / Joel Silverfield, MD
	Sleep Disorders / Stephen Kreitzer, MD
	Breast Cancer / Brad Carter, MD
	None

3 p.m.

	Fertility / Barry Verkauf, MD
	Dry Eye / Steven Maskin, MD
	Nutrients & Cancer Prevention / Nagi Kumar, PhD, RD
	None

Do you work part-time or full-time?

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Sex

Male Female

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