1. health and fitness
2. disease

Has the patient been seen at Mayo Clinic?
Yes
No
N/A
Will the patient be attending?
Yes
No
N/A
Have you ever participated in research
before?
Yes
No
Sponsored by the Department of Neurology
and Mayo Clinic Alzheimer’s Disease
Research Center Outreach, Recruitment and
Education Core, in partnership with:
Morris K. Udall Center of Excellence for
Parkinson’s Disease Research
Dorothy and Harry T. Mangurian Jr.
Lewy Body Dementia Program at Mayo Clinic
Department of Psychiatry & Psychology
How did you hear about us?
Educational Seminars
for Care Partners
Frontotemporal Dementia
Dementia with Lewy Bodies
Parkinson’s Disease &
Related Disorders
Vascular Dementia
Mild Cognitive Impairment
Contact 904-953-6523 with questions
Registration deadline is ONE week
prior to the seminar. Please complete
this registration form and place it in a
standard envelope, along with a
check payable to MAYO CLINIC.
Please mail to:
Mayo Clinic
4500 San Pablo Road
Attn: Catherine Ruiz CA 1080
Jacksonville, FL 32224
MCJ2815-07
Seminars for Families
Who should attend?
Registration:
Mayo Clinic Florida is pleased to offer
comprehensive educational seminars for
patients and their families impacted by
Frontotemporal Dementia, Dementia with
Lewy Bodies, Parkinson’s Disease and
related disorders, Vascular Dementia, and
Mild Cognitive Impairment.
• Any supportive care partner, family
member or friend.
Please indicate below which seminar(s) you
would like to attend:
A dedicated single day educational
program provides families with
information helpful to understand and
cope with symptoms associated with
each disorder. Participants will learn
from experts in the field in a supportive
setting along with other families and care
providers.
Schedule:
Each seminar is scheduled from 9:00 a.m. –
2:00 p.m. on the following days:
May 1
Frontotemporal Dementia
May 15
Dementia with Lewy Bodies
• The content is designed for families and
care partners. Persons diagnosed with
the disorder are welcome to attend;
however, please take into consideration
the length of the day (5 hours) when
deciding to attend.
• Health care professionals.
Location:
The program takes place at Mayo Clinic
Florida in the Cannaday Building,
Kinne Auditorium. Your registration
and payment serve as your attendance
confirmation.
Seminar Topics
Specific topics will vary depending on
the seminar, but may include:
• The diagnostic process.
Parkinson’s Disease & Related Disorders
• Core features and symptoms.
October 16
Vascular Dementia
• Current treatment and therapies.
Cost:
May 15, 2015: Dementia with Lewy
Bodies
July 31, 2015: Parkinson’s Disease &
Related Disorders
October 16, 2015: Vascular Dementia
July 31
December 11 Mild Cognitive Impairment
May 1, 2015: Frontotemporal Dementia
• Biology of the disease.
December 11, 2015: Mild Cognitive
Impairment
Name, address, e-mail of primary
attendee:
Name
Address
City
Phone number
State
Zip
-
-
E-mail
Names of all others attending in the group:
• Understanding and managing
challenging behaviors.
• Care for the caregiver.
• Current research.
$25/person
Lunch and refreshments will be provided.
Please enclose a check payable to Mayo Clinic