Melvin L. Cohen, MD 36th Annual
Pediatric Update 2013
Feb. 25 through 28, 2013
Ritz-Carlton, Phoenix, Arizona
ABOUT PHOENIX
CHILDREN’S HOSPITAL
Phoenix Children’s Hospital,
ranked in U.S. News &
HOSTED BY PHOENIX CHILDREN’S HOSPITAL for the past 36
World Report’s Best Children’s
years, Pediatric Update offers physicians from across the country
Hospitals, is Arizona’s only
the opportunity to learn the latest evidence-based practices in
licensed children’s hospital,
pediatric medicine. This event welcomes hundreds of pediatricians
providing world-class inpatient,
from throughout the United States who recognize and value this
outpatient, trauma, emergency,
opportunity for continuing medical education
and urgent care to children
COURSE OBJECTIVE
Pediatric Update 2013 features nationally prominent faculty, presenting topics
that highlight the most recent advances and current issues in pediatrics.
The program is designed for practicing pediatricians, other primary care
physicians and pediatric nurse practitioners to increase their knowledge in
the following subspecialty areas: Cardiology, Dermatology, Developmental
Pediatrics, Endocrinology, General Pediatrics, Gastroenterology, Infectious
Disease, Information Technology, Integrative Medicine, Otolaryngology, Plastic
Surgery, Psychiatry, and Surgery/Trauma. This course will combine lectures
and workshops with question and answer sessions to allow the opportunity for
interaction with faculty members.
and families in Arizona and
throughout the Southwest. As
one of the largest children’s
hospitals in the country with
465 licensed beds, Phoenix
Children’s provides care across
nearly 50 pediatric specialties.
The Hospital is poised for
continued growth in quality
patient care, research and
SETTING
The Ritz-Carlton offers a luxury experience in a relaxed, urban surrounding.
325 days of sunshine each year create ideal conditions to enjoy the area
attractions. Located about 8 miles from Sky Harbor Airport (a 15 to 20 minute
drive), the hotel is near more than 60 upscale shopping and dining venues, all
a convenient stroll away. A limited number of guest rooms are being held at
the Ritz-Carlton for a reduced rate of $219 per night, plus an occupancy tax
of 13.27%. Please plan to reserve your guest room well in advance. To learn
more about The Ritz-Carlton, Phoenix, visit their website at www.ritzcarlton.
com/phoenix.
medical education. For more
information about the Hospital,
visit www.phoenixchildrens.com.
COURSE CREDIT
Phoenix Children’s Hospital is accredited by the Accreditation Council for Continuing Medical Education
(ACCME) to provide Continuing Medical Education for physicians.
Phoenix Children’s Hospital designates this live activity for a maximum of 17.3 AMA PRA Category 1 Credits TM.
Physicians should only claim credit commensurate with the extent of their participation in the activity.
MAINTENANCE of CERTIFICATION (MOC) PART TWO
An application for MOC Part Two credits has been submitted to the American Board of Pediatrics (ABP). Further details
will follow.
Faculty
Mitchell Cohen, MD, FACC, FHRS
Medical Staff Section Chief, Pediatric Cardiology
Director of Pediatric Electrophysiology and Pacing
Phoenix Children’s Hospital
Arizona Pediatric Cardiology Consultants
Phoenix, Arizona
Clinical Associate Professor of Pediatrics
University of Arizona School of Medicine
Tucson, Arizona
Paul Croarkin, DO
Senior Associate Consultant
Department of Psychiatry and Psychology
Mayo Clinic
Assistant Professor of Psychiatry
Mayo Clinic College of Medicine
Rochester, Minnesota
Ronald Hansen, MD
Division Chief, Dermatology
Phoenix Children’s Hospital
Phoenix, Arizona
Professor of Medicine, Pediatrics and Dermatology
University of Arizona Health Science Center
Tucson, Arizona
Mayo Clinic, Consultant, Dermatology
Scottsdale, Arizona
Marcia Hogeling, MD
Pediatric Dermatologist
Department of Dermatology
Phoenix Children’s Hospital
Phoenix, Arizona
Tieraona Low Dog, MD
Fellowship Director
Arizona Center for Integrative Medicine
Clinical Assistant Professor of Medicine
University of Arizona Health Sciences
Tucson, Arizona
Hilary McClafferty, MD, FAAP
Founder of the Center for Women
and Children’s Integrative Medicine
Chapel Hill, North Carolina
AAP Section on Complementary and
Integrative Medicine Executive Committee Member
Assistant Fellowship Director
Arizona Center for Integrative Medicine
University of Arizona College of Medicine
Tucson, Arizona
Don McClellan, MD
Pediatric Endocrinologist
Division Chief, Endocrinology
Phoenix Children’s Hospital
Phoenix, Arizona
Tamir Miloh, MD
Academic Division Chief Pediatric Gastroenterology
Director, Liver Transplantation Program
Phoenix Children’s Hospital
Phoenix, Arizona
Associate Professor of Pediatrics
Mayo Clinic College of Medicine
Associate Professor of Pediatrics
University of Arizona College of Medicine
Tucson, Arizona
Bruce Morgenstern, MD
Division Chief, Nephrology
Medical Director, Continuing Medical Education
Phoenix Children’s Hospital
Phoenix, Arizona
Professor of Pediatrics
University of Arizona College of Medicine
Tucson, Arizona
Associate Professor of Pediatrics
Mayo Clinic College of Medicine
David Notrica, MD, FACS, FAAP
Trauma Medical Director
Phoenix Children’s Hospital
Phoenix, Arizona
Pediatric Surgeon, Pediatric Surgeons of Phoenix
Phoenix, Arizona
Clinical Assistant Professor of Surgery
University of Arizona College of Medicine
Tucson, Arizona
Stephen Pophal, MD, FACC
Division Chief, Pediatric Cardiology
Phoenix Children’s Medical Group
Phoenix Children’s Hospital
Phoenix, Arizona
Harper Price, MD, FAAD, FAAP
Fellowship Director and Associate Chief, Department
of Dermatology
Phoenix Children’s Hospital
Phoenix, Arizona
Instructor in Dermatology
Mayo Clinic College of Medicine
William Raszka, MD
Pediatric Infectious Disease Specialist, Fletcher Allen
Professor, University of Vermont College of Medicine
Vermont Children’s Hospital at Fletcher Allen
Children’s Specialty Center
Burlington, Vermont
Scott Schraff, MD
Division Chief, Pediatric Otolaryngology
Phoenix Children’s Hospital
Phoenix, Arizona
Adjunct Assistant Professor, Department of
Otolaryngology
Mayo Clinic College of Medicine
Steven Shukan, MD
General Pediatrician
Summit Camp Health Center Director
Hope for Haiti Physician
Naples, Florida
Davinder Singh, MD
Assistant Professor of Plastic Surgery
Mayo School of Medicine
Scottsdale, Arizona
Chief, Division of Plastic Surgery
Phoenix Children’s Hospital
Attending Surgeon, Barrow Children’s Cleft and
Craniofacial Center
Phoenix, Arizona
Vinay Vaidya, MD
Vice President and Chief Medical Information Officer
Phoenix Children’s Hospital
Phoenix, Arizona
Robert Voigt, MD
Professor of Pediatrics
Baylor College of Medicine
Developmental Pediatrician
Meyer Center for Developmental Pediatrics
Texas Children’s Clinical Care Center
Houston, Texas
Jeffrey Weiss, MD
General Pediatrician and Hospitalist
Phoenix Children’s Hospital
Phoenix, Arizona
AAP Committee on Injury, Violence and Poison
Prevention
Clinical Professor of Pediatrics
University of Arizona College of Medicine
Tucson, Arizona
Monday, February 25
7 - 8 a.m.
Breakfast Buffet
7:30 a.m.
Breakfast Workshops
Don McClellan, MD & Tamir Miloh, MD
Pediatric Obesity: Sweet Kids/Fat Livers
(repeat on Tuesday)
As a result of attending this presentation,
participants should be able to:
• identify key diagnostic features of type
2 diabetes in children and adolescents
• recognize the co-morbidities of obesity
in children and adolescents
• recognize the prevalence and risk
factors for non alcoholic fatty liver in
children (NAFLD 2)
• discuss the differential diagnosis,
workup and management of children
with NAFLD
Hilary McClafferty, MD, FAAP
Introduction to Mind-Body Medicine: Tools for
Clinical Practice
As a result of attending this presentation,
participants should be able to:
• discuss three evidence-based mindbody medicine techniques applicable in
pediatric practice
• recognize clinical settings where the use
of mind-body medicine techniques can
be safely applied
Ronald Hansen, MD & Marcia Hogeling, MD
Hemangiomas and Vascular Malformations
As a result of attending this presentation,
participants should be able to:
• review propranolol for the treatment of
infantile hemangioma
• recognize the most common types of
vascular malformations
• discuss multidisciplinary approach to
managing vascular malformations
8:30 a.m.
Bruce Morgenstern, MD
Welcome and Introduction
8:40 a.m.
William Raszka, MD
Going With the Flow: Diagnosis, Treatment and
Prevention of Urinary Tract Infections (UTI) In
Young Children
As a result of attending this presentation,
participants should be able to:
• review risk categories for UTI
• describe criteria for the diagnosis of
UTI
• compare and contrast current
recommendations with past
recommendations
• identify children in whom imaging
studies are indicated
9:20 a.m.
Hilary McClafferty, MD, FAAP
An Integrative Approach to ADHD
As a result of attending this presentation,
participants should be able to:
• describe the elements of a
comprehensive integrative medicine
approach to ADHD
• prioritize an integrative medicine
approach to selected patients with
ADHD in a case-based format
10 a.m.
Break
10:20 a.m.
Scott Schraff, MD
Dysphagia: Why a Multidisciplinary Approach is
Needed
As a result of attending this presentation,
participants should be able to:
• outline the causes of dysphagia and
discuss the workup of dysphagia in
children
• use a treatment algorithm for dysphagia
and explain why a multidisciplinary
approach is needed
11 a.m.
Harper Price, MD, FAAD, FAAP
Acne, New Concepts and Controversies
As a result of attending this presentation,
participants should be able to:
• review new literature and trends for
acne therapy in the pediatric population
11:40 a.m.
William Raszka, MD
Getting To the Point: Vaccine Issues in 2012
As a result of attending this presentation,
participants should be able to:
• review reasons for vaccine deferment
• describe the epidemiology of vaccine
preventable diseases
• compare and contrast vaccine schedules
• discuss new indications or changes in
vaccine schedules
Tuesday, February 26
7 - 8 a.m.
Breakfast Buffet
7:30 a.m.
Breakfast Workshops
Vinay Vaidya, MD
Electronic Health Records: How Can We Improve
Safety and Efficiency?
As a result of attending this presentation, participants should be able to:
• explain the role of electronic health
records in clinical decision support
• recognize how electronic health records
can enhance patient safety
Tieraona Low Dog, MD
The Role of Herbal Medicine in Pediatrics
As a result of attending this presentation,
participants should be able to:
• describe the use of herbal products in
the United States
• discuss the safety and benefit for herbal
remedies commonly used in the pediatric
population
• describe the key components of the
dietary supplement facts label as it
pertains to herbs and herbal extracts
• identify authoritative resources in
obtaining unbiased information for
assessing safety and effectiveness of
herbal remedies
Don McClellan, MD & Tamir Miloh, MD
Pediatric Obesity: Sweet Kids/Fat Livers
(repeat from Monday)
As a result of attending this presentation,
participants should be able to:
• identify key diagnostic features of type 2
diabetes in children and adolescents
• recognize the co-morbidities of obesity in
children and adolescents
• recognize the prevalence and risk factors
for non alcoholic fatty liver in children
(NAFLD 2)
• discuss the differential diagnosis, workup
and management of children with
NAFLD
8:40 a.m.
William Raszka, MD
Flim, Flam and Phlegm: Diagnosis and Treatment
of Community Acquired Pneumonia (CAP) in
Healthy Children
As a result of attending this presentation, participants should be able to:
• review the indications for diagnostic
testing in patients with signs and
symptoms of LRTI
• describe therapeutic strategies for
children with CAP
• discuss management of complicated
pneumonias
9:20 a.m.
Hilary McClafferty, MD, FAAP
Pediatric Integrative Medicine: Looking Forward
As a result of attending this presentation,
participants should be able to:
• define integrative medicine
• describe the evolution of the field of
pediatric integrative medicine in the
United States
• identify clinical settings in which
evidence-based pediatric integrative
medicine is being widely used
10 a.m.
Break
10:20 a.m.
Scott Schraff, MD
Pediatric Head and Neck Masses: When to Worry
About Lumps
As a result of attending this presentation,
participants should be able to:
• discuss the clinical signs and symptoms
of neck masses in the pediatric patient
• discuss the workup of head and neck
masses in children
• use a treatment algorithm for neck
masses and give guidance on when to
refer the patient to a specialist
11 a.m.
Jeffrey Weiss, MD
Talking to Families about Preventing Injuries
As a result of attending this presentation,
participants should be able to:
• counsel families about drowning
prevention (swim lessons, pool fences)
• counsel families about high risk teen
driving (night driving, teen passengers,
distractions, seatbelts)
• apply the Social Learning Theory model
in counseling aimed at true behavior
change
11:40 a.m.
William Raszka, MD
What Would Jack Do? Emerging Infectious
Disease Threats
As a result of attending this presentation,
participants should be able to:
• describe the epidemiology of new (in the
US) infections
• review the epidemiology, diagnosis and
treatment of infections associated with
Wednesday, February 27
7 - 8 a.m.
Breakfast Buffet
7:30 a.m.
Breakfast Workshops
Paul Croarkin, DO
Case Presentations of Pediatric Mood Disorders
As a result of attending this presentation,
participants should be able to:
• discuss screening, identification and
management of depressive disorders
and bipolar disorder in children and
adolescents (this will be accomplished
with interactive discussion and video
vignettes)
• demonstrate an increased awareness,
comfort and ability in screening and
managing suicidality in a primary setting
Robert Voigt, MD
Pediatric Diagnosis and Management of Autism
Spectrum Disorders
As a result of attending this presentation,
participants should be able to:
• recognize autism spectrum disorders
within the spectrum and continuum of
developmental-behavioral disorders,
not just a simple checklist of behaviors
• describe the developmental and
behavioral profiles of children with autism
and Asperger syndrome
• define “pervasive developmental disorder,
not otherwise specified”
• discuss the proposed changes in autism
diagnosis in the upcoming DSM-V
• recommend evidence-based behavioral,
therapeutic, special educational and
medical interventions for children
with autism spectrum disorders
• apply a cost-effective, yet comprehensive
approach to laboratory workup of children
with autism spectrum disorders
Mitchell Cohen, MD, FACC, FHRS
ECG Reading and When to Really Worry
As a result of attending this presentation,
participants should be able to:
• recognize abnormal EKGs which may
identify children at risk for sudden
cardiac death
8:40 a.m.
David Notrica, MD, FACS, FAAP
Chest Injury for the Urgent Care Physician
As a result of attending this presentation,
participants should be able to:
• review the physiology of chest injury and
pneumothorax types
• discuss which chest injuries can be safely
discharged
• review changes in clavicle fracture
management
9:20 a.m.
Paul Croarkin, DO
Managing Pediatric Mood Disorders in a Primary
Care Setting
As a result of attending this presentation,
participants should be able to:
• demonstrate increased knowledge
regarding the epidemiology,
phenomenology and treatments of
depressive disorders and bipolar disorders
• demonstrate increased competency
in basic management strategies
(including psychosocial interventions,
pharmacotherapy and referrals) for
pediatric mood disorders
10 a.m.
Break
10:20 a.m.
Robert Voigt, MD
Screens Have Holes: Pediatric Neurodevelopmental
Assessment
As a result of attending this presentation,
participants should be able to:
• define and differentiate developmental
screening, surveillance and evaluation
• describe the processes that underlie
problems in development: developmental
delay, dissociation and deviation
• identify patterns of developmental delay static, acute and progressive – understand
how these patterns affect medical
work-up and recommendations for therapy
• perform clinical pediatric
neurodevelopmental assessments
utilizing a developmental history and
neurodevelopmental examination
11 a.m.
David Notrica, MD, FACS, FAAP
Surgical Management of Fecal Incontinence and
Intractable Constipation
As a result of attending this presentation,
participants should be able to:
• explain the etiologies and workup of fecal
incontinence
• review the child’s right to “social
continence”
• recognize options for failure medical
management of constipation
11:40 a.m.
Mitchell Cohen, MD, FACC, FHRS
A Practical Approach to Screening for Sudden
Cardiac Death
As a result of attending this presentation,
participants should be able to:
• recognize the cardiovascular causes of
sudden cardiac death
• identify limitations of current sports
screening forms
• explain subtle findings that support
a patient at risk for cardiovascular
arrhythmias
Thursday, February 28
7 - 8 a.m.
Breakfast Buffet
7:30 a.m.
Breakfast Workshops
Steven Shukan, MD
Initial Medical Response – Haiti, January 2010
“Flying by the Seat of One’s Pants”
As a result of attending this presentation,
participants should be able to:
• express the devastation encountered by
the medical team upon arrival in Haiti
• describe what was required of the first
medical personnel on the scene and
recognize the resilience of the Haitian
people
• express pride in being American
• describe a young Haitian boy’s “lesson to
be learned”
Robert Voigt, MD
Cases in Developmental-Behavioral Pediatrics
As a result of attending this presentation,
participants should be able to:
• adopt a clinical pediatric developmental
assessment process that focuses on
developmental history and
neurodevelopmental examination rather
than screening and checklists
• diagnose common developmentalbehavioral conditions (cerebral palsy,
intellectual disability, ADHD, autism
spectrum disorders) using this process
Stephen Pophal, MD, FACC
Common Congenital Heart Defects in Children:
How to Diagnose Them and When to Refer for
Nonsurgical Intervention
As a result of attending this presentation,
participants should be able to:
• discuss the most common heart lesions
in children that require nonsurgical
intervention and when they are repaired
8:40 a.m.
Davinder Singh, MD
Craniofacial Anomalies: Management in the
Newborn Period
As a result of attending this presentation,
participants should be able to:
• describe team effort in caring for
newborns with craniofacial anomalies
• recall the timeline for staged
reconstruction of craniofacial anomalies
9:20 a.m.
Stephen Pophal, MD, FACC
New Approaches to Nonsurgical Interventions in
Congenital Heart Disease (CHD)
As a result of attending this presentation,
participants should be able to:
• identify the most common congenital
heart lesions that are repaired non
surgically and gain a basic understanding
of how they are repaired
• describe the routine follow-up after
nonsurgical/catheter based repairs of
CHD
10 a.m.
Break
10:20 a.m.
Robert Voigt, MD
Beyond Checklists: Making DevelopmentalBehavioral Diagnoses
As a result of attending this presentation,
participants should be able to:
• discuss the basic pediatric
neurodevelopmental principles that
underlie the spectrum and continuum of
developmental-behavioral disorders
• describe the spectrum of developmental
disabilities from mild to severe within
each stream (motor, cognitive, behavior)
of development
• describe the continuum of developmental
disabilities across developmental streams
and the importance of identifying
associated developmental and/or
behavioral co-morbidities
• formulate comprehensive developmental/
behavioral diagnoses within the spectrum
and continuum of developmental
behavioral disorders
11 a.m.
Davinder Singh, MD
Acute Management and Long Term Growth
Consequences
As a result of attending this presentation,
participants should be able to:
• review indications and timing of surgical
intervention for pediatric facial fractures
• recognize the effect of trauma on facial
growth
11:40 a.m.
Paul Croarkin, DO
Identification and Management of Suicidality in
Children and Adolescents
As a result of attending this presentation,
participants should be able to:
• recall the epidemiology, identification
and risk factors associated with
suicidality
• demonstrate increased competency in the
screening and management of suicidality
in a primary care setting
Evening Reception & Hospitality Suite
Join us
Tuesday, February 26th, from 6
to 9:00pm at The Ritz-Carlton.
Relax poolside and enjoy the
entertainment! A delightful
selection of hors d’oeuvres, wine and
cocktails will be served.
HOSPITALITY SUITE
Spouses and other guests are invited to visit the Hospitality Suite on
Monday, Tuesday and Wednesday from 8 to 11:30 a.m. Continental
breakfast will be served.
PARKING
Daytime parking at the Ritz-Carlton is complementary. Overnight parking is $29.00 per night (we recommend
overnight guests use a taxi service rather than car rental). Overflow parking is available in the Esplanade
parking garage at $14.00 per day. The Biltmore parking lot, located directly across from the Ritz-Carlton, may
also be used for overflow parking at no charge. The Ritz-Carlton valet service will be available to direct you and
provide options for parking if needed.
Registration
SEATING IS LIMITED AND SUBJECT TO AVAILABILITY- EARLY REGISTRATION IS ENCOURAGED
The fee to attend Pediatric Update is $575 for practicing The fee to attend Pediatric Update is $575
for practicing physicians and $450 for retired physicians, nurses, residents and other allied health
professionals. Those who register for the course and reserve a room through the Phoenix Children’s
Hospital-Pediatric Update guest room block at Ritz-Carlton, prior to 12/31/2012, will receive a course
registration discount of $50. The registration fee includes tuition, breakfast each morning, refreshments
during the meeting and two tickets for the Reception on Tuesday evening.
Presentations/Syllabus material will be available on the Phoenix Children’s Hospital Website at www.
phoenixchildrens.com – thumb drives will be distributed to each registrant upon check in at the conference
registration desk. If you wish to purchase a printed syllabus for the main course, one will be provided
upon check in for a $40 fee to cover the cost of printing. Please indicate that you wish to purchase a
printed copy of the syllabus on your course registration form.
If you wish to bring additional guests to the Reception, please include $60 in your tuition for each
additional person.
If your spouse or guest plans to attend the Breakfast Buffet for registered participants, please include an
additional $60 in your tuition fee for each spouse or guest.
The registration and information desk will be open from 5 to 7 PM on Sunday, February 24 (for those who
wish to check in early) and daily throughout the conference.
The full fee is payable upon registration. Please make checks payable to: Pediatric Update 2013 (ALL
FEES IN US CURRENCY).
In case of emergency, cancellation of your registration will be accepted up to two weeks prior to the
meeting date, with a refund of your registration fees, less a $50 processing charge. Registration fees will
not be refunded for cancellations received within two weeks of the conference.
Course registrants will have the opportunity to participate in workshops during breakfast. Upon receipt
of your registration a workshop form will be sent to you. Please make your workshop selections
and return by FAX: (602) 933-0806 at your earliest convenience.
Registration is also available online at the following address:
www.phoenixchildrens.com/calendar-of-events
For further information and assistance with special requests, please contact:
JoAnn Cunningham, Medical Education
Phoenix Children’s Hospital
1919 East Thomas Road, Phoenix, Arizona 85016
(602) 933-0766 or 933-0761 - Fax: (602) 933-0806
E-mail: [email protected]
Course Registration Form
You can now register via
your smartphone-just simply
Clip and send course registration form directly to:
follow the steps below:
(Make Copy for Additional Attendees)
1. Download
QR code app
QR code
Phoenix Children’s Hospital -Medical Education Department
Attention: JoAnn Cunningham
2. Scan code
1919 E. Thomas Rd., Administration Building
to the right
Phoenix, AZ 85016
3. Register
FAX (602) 933-0806
Registration is also available online: www.phoenixchildrens.com/pediatricupdate
Print Name ________________________________________________________________ Degree _______________
Print Address______________________________________________________________________________________
Print City ______________________________________________________ State ____________ Zip _____________
Business Phone (____)_____________________________ Home Phone (____) ________________________________
Fax (____)_______________________________________ Email Address ____________________________________
Do you plan to attend the reception?
Yes No
Will your spouse/guest be attending the reception?
Yes
No
One Reception ticket will be provided for each registrant and the registrant’s spouse or a guest. Additional reception
tickets will be available for purchase ($60 each) at the conference registration desk.
Will your spouse/guest be attending the breakfast buffet for registered participants? Yes No
Breakfast Buffet tickets will be provided for each registrant. Additional tickets will be available for purchase ($60 each)
at the conference registration desk (price includes breakfast buffet Monday through Thursday).
Pediatric Update 2013 Tuition
Physicians registering for the course and reserving a room through the Phoenix Children’s Hospital-Pediatric Update
guest room block at Ritz-Carlton, prior to 12/31/2012$525__________
Physicians registering after 12/31/2012$575__________
Retired Physicians, Residents, Fellows, Nurses/Allied Health
$450__________
I wish to bring _____ additional guest/s to the reception on Tuesday $60 per person__________
My spouse/guest/s plan(s) to attend the breakfast buffet for registered participants $60 per person __________
(Price includes breakfast buffet Monday through Thursday)
I wish to purchase a printed copy of the syllabus
$40
__________
PAYMENT MAY BE MADE BY CHECK or CREDIT CARD
PLEASE MAKE CHECK PAYABLE TO: Pediatric Update 2013 (ALL FEES in US CURRENCY)
PLEASE CHARGE MY:
American Express
MasterCard
Visa
Credit Card Number____________________________________________________
Expiration Date _______________________
Card Holder Signature __________________________________________________
Print Name as Shown on Card ___________________________________________
Total
__________
Advanced Hotel Reservation Form
THE RITZ-CARLTON, PHOENIX • 2401 East Camelback Road • Phoenix, AZ 85016 • Phone: (602) 648-0700
To Make a Reservation by Phone: (800) 241-3333 To Fax Your Reservation Form: (602) 553-0685
Attention: Joseph Vita in Group Reservations
Online go to: ritzcarlton.com/phoenix
Email: [email protected]
Reference Group Code: PCHPCHA
Official Dates for Guest Room Reservations: Saturday, February 23 through Saturday, March 2, 2013.
Reservations must be received by: Thursday, January 24, 2013.
Airport Transportation: Phoenix Sky Harbor Airport Taxi service or public shuttle is available at each terminal. The
Ritz-Carlton is located about 8 miles from Sky Harbor Airport (a 15 to 20 minute drive).
Room rates are subject to 13.27% occupancy tax. All reservation requests must be accompanied by a one-night
non-refundable deposit (check, money order or credit card) in order for the reservation to be processed and
confirmed. Deposits will be refunded for rooms cancelled more than 72 hours prior to arrival.
The Ritz-Carlton, Phoenix
ATTENTION: Joseph Vita Group Reservations
I plan to attend The Melvin L. Cohen, MD Pediatric Update 2013 Sponsored by Phoenix Children’s Hospital
Group room rates (standard accommodations)
Please check one:  $219.00 Double
 $219.00 Double/Double Check-in: 3 p.m.

$219.00 King
Check-out: 12 p.m.
Name _____________________________________________________________________________________________
Address____________________________________________________________________________________________
City _________________________________________________________State ____________ Zip__________________
Email_______________________________________________________________________________________________
Business Phone (____)___________________________________ Home Phone (____) ____________________________
# Guests _____# Adults _____# Children _____ Requests _________________________________________________
Arrival Date __________________ Time ________________Departure Date ________________Time ______________
Credit Card Name __________________________________________________________________________________
Credit Card Number_____________________________________________Expiration Date_______________________
 I authorize Ritz-Carlton to charge my account for one night’s room and tax or please find my check/money order
enclosed.
Card Holder Signature__________________________________________________Date_________________________
Print Name as Shown on Card ________________________________________________________________________
12-0259