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Call for Abstracts
FLORIDA PHARMACY ASSOCIATION 132nd ANNUAL MEETING AND CONVENTION July 6-10, 2022 Marriott Harbor Beach Resort ♦ Ft. Lauderdale, Florida Poster Session: Friday, July 8, 2022 ♦ 11:00AM-1:00PM COST ONE DAY REGISTRATION
The FPA Poster Presentations are open to PHARMACISTS, RESIDENTS, STUDENTS, AND TECHNICIANS. Complete and submit this COVERSHEET for each abstract submission. Submissions must be received no later than Friday, May 6, 2022. Abstracts will NOT be accepted after this date. Mail or E-mail this application along with the abstract submission to:
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PLEASE TYPE
Contact Information: Tian Merren Owens, MS, PharmD, Director of Continuing Education Florida Pharmacy Association 610 N. Adams Street Tallahassee, FL 32301 tmerren@pharmview.com
Presenter's Name: _______________________________________________________________________________ □ Pharmacist □ Resident □Student □ Technician
Address: ________________________________________________________________________________________ City, State, Zip: ___________________________________________________________________________________ Telephone No: _____________________E-Mail Address: _________________________________________________ College of Pharmacy: _____________________________________________________________________________ Abstract Title: ____________________________________________________________________________________
Poster Type: □ Basic Science Research □ Best Practice □ Clinical Research □ Literature Review □ Translational Research (Basic Science and Clinical Research)
(Presenter will be notified by mail of acceptance). Co-Author(s): ____________________________________________________________________________________ Awards: Posters will be eligible for 1st, 2nd, and 3rd place prizes to be presented at Convention. (Only one prize is given for each winning poster)
ABSTRACT FORMAT
The abstract form submitted should be the equivalent of one page. The abstract should include: Title (Include authors’ names and name of College of Pharmacy), Purpose, Methods, Results, and Conclusions. Abstracts will not be accepted if they are not in this format. Do not include figures or graphs. Please direct all questions and concerns to: Tian Merren Owens ♦ (850) 222-2400 ext. 120 ♦ tmerren@pharmview.com
Participant InformationParticipant Information
Name: _____________________________________________________ Name _______________________________________________ Badge Name: _______________________________________________ Address______________________________________________ City, State, Zip_________________________________________ Mailing Address: ____________________________________________ Phone___ ________________________ City, State, Zip: _____________________________________________ Email________________________________________________ Phone: (W) (H)_______________________Practice Setting________________________________________ Fax: ______________________________________________________ License: PS______________ PU _____________RPT_________ License: PS________________ PU_________ Other State________ NABP e-profile#__________________ Date of Birth___________ Emergency Contact Name/Number_________________________
Full Package Registration
Full package registration includes Educational Programs Thursday-Sunday, House of Delegates on Thursday, Exhibit Hall Friday and Saturday, Receptions, and Awards Event on Saturday. Handbooks are not included in full package registration. Handouts will be available the week of the convention on our website, www.floridapharmacy.org.
Before June 17 Onsite Amount_ FPA Member $345 $430 $_______ Non-Member $525 $610 $_______ Pharmacist BEST Value $540 $625 $_______ Member Technician $155 $185 $_______ Non-Member Technician $175 $210 $_______ Technician BEST Value $185 $220 $_______ Student $150 $170 $_______ Handbooks $40 $40 $_______
5Daily Education Registration5
Daily registration does not include admittance to functions or handbooks. Handouts will be posted on our website July 5. Before June 17 Onsite Amount FPA Member $165 $185 $_______ Non-Member $215 $235 $_______ Member Technician $65 $85 $_______ Non-Member Technician $90 $110 $_______ Handbooks $40 $40 $_______
Please select the day(s) you will attend: ¨Thursday ¨Friday ¨Saturday ¨Sunday
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Additional Tickets
The following events are included in the Full Registration Package, if requested. However, you must purchase additional tickets for guests who are NOT registered.
Exhibit Hall Awards Event Quantity Price Amount $30 $______ $80 $______
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Special Events Registration
The Poster Event is available to all pharmacy professionals and included in full and daily registrations. The Student Awards Event is not included in any registration packages.
Quantity Price Amount
Poster Presenter One Day Registration $______ (Registration fee is based upon membership and professional status for non-convention registrants.)
(BEST Value includes Registration & Membership) Student Awards Event _______ $50 $______
Please indicate below which functions you will attend. If no
boxes are selected, we will assume you will not attend any
of the events listed below. Please see box 6 for additional tickets. ¨ House of Delegates (Thursday) ¨ FPPC Reception (Thursday) ¨ Exhibit Hall (Friday and/or Saturday) ¨ Awards Event (Saturday) ¨ Christian Fellowship (Sunday) ¨ I will not attend any of these functions.
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FPA Polo Shirt (Deadline is June 3)
Quantity Price M/F Size Amount ¨ Yes ______ $35 ______ ______ $_______
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Payment Total Enclosed: $ ______
¨Check (To: FPA) ¨AMEX ¨Discover ¨MasterCard ¨Visa
Account # ____________________________________________
Security Code _________________ Expiration Date __________
Billing Address ________________________________________
Signature ____________________________________________
House of Delegates
House of Delegates (Non-convention registrants) Before June 8 Amount $165 ______
Four Ways to Register
Mail: FPA, 610 North Adams Street, Tallahassee, FL 32301 Phone: 850-222-2400 Fax: 850-561-6758 Web: www.floridapharmacy.org Schedule and Fees Subject to Change
“I’M ALWAYS WATCHING OUT FOR MY PATIENTS,
BUT WHO’S WATCHING OUT FOR ME?”
WE ARE.
We are the Alliance for Patient Medication Safety (APMS), a federally listed Patient Safety Organization.
Our Pharmacy Quality Commitment (PQC) program:
• Helps you implement and maintain a continuous quality improvement program • Offers federal protection for your patient safety data and your quality improvement work • Assists with quality assurance requirements found in network contracts,
Medicare Part D, and state regulations • Provides tools, training and support to keep your pharmacy running efficiently and your patients safe
