73rd Annual Scientific Assembly

October 25-28, 2022
Park Vista Doubletree Hotel, Gatlinburg

Deadline to register is October 3. On-site registration will incur higher fees.

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Room Reservation Information and Instructions

Program Brochure

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REGISTRATION

Please submit accurate names for all attendees on the registration form to ensure access to event functions.

Annual Scientific Assembly 2022

Name*
First Last
Designation*
What is your "Other" designation?
Name as you wish PRINTED ON BADGE:*
Name of SPOUSE/SIGNIFICANT OTHER attending:
Name(s) of other guests:
Names of Children & Ages:
Phone*
Fax*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*

Instructions to download speaker handouts will be emailed to you.
Dietary Restrictions:
Medical Students and Residents - Please provide the name, city & state of your medical school or residency program and your anticipated completion date:
Tennessee AFP Adopted Board Policy on Registration Fees:
***Full registration fee paid includes only one additional adult be it your spouse, significant other or guest (not to include a member’s spouse who is a health professional seeking CME who would pay the member registration fee) and all of the Paid Registered Attendee’s children age 18 and under at no charge.
^Names for all persons who will be attending under your registration fee paid and receiving a TNAFP badge to access the exhibit hall and food functions, must be provided on this registration form.
^Additional persons attending with you who are non-medical guests, excluding one adult guest who is included in your registration fee, are charged a $25 fee to cover food costs.
^Additional persons attending with you who are health/medical professionals seeking CME credit for attendance at this scientific assembly must pay the appropriate fee listed including physicians must pay a physician registration fee as a member or non-member.
Special Note: If minimum number of 20 is not registered by 9/23/2022 for Tuesday Optional KSA, then KSA will be cancelled.
Cancellation IN WRITING is required and must be submitted by Monday, October 3, for a refund. Emergency cancellation requests will be reviewed on an individual basis.
Registration Fees*
Quantity*
Additional Options:
Friday, 10/28, “Prescribing Practices & the TN Chronic Pain Guidelines” 11:30 am-1:30 pm (This registration section is for those who are ONLY attending this ONE presentation):
If you are registering for attendance at ALL of the TNAFP annual meeting, please do NOT register here for “Prescribing Practices.” “Prescribing Practices” is included in your registration fee paid for attending the entire program.
Quantity
Wednesday, 10/25: Resident & Student Lunch (no charge, but pre-registration required)
Resident & Student Lunch Quantity
Resident & Student Lunch Dietary Restrictions

Limited to resident and student members and their spouse or significant other only.
I will attend the Wednesday Resident/Student Track.
- Yes
- No
Limited to first 30 to register. No additional charge.
Wednesday, 10/25: President’s Banquet (select Adult and Child options below)
Select $10 Child Options Below (6yrs and under)
Adult Quantity
President's Banquet Dietary Restrictions (Adult)
Wednesday, 10/25: President’s Banquet Child (age 6 and under)
Child Quantity
President's Banquet Dietary Restrictions (Child)
Total
$0.00
Credit Card
Card Details
Cardholder Name
No cancellations or refunds after October 3.

73rd Annual Scientific Assembly

Program Brochure

REGISTRATION

Annual Scientific Assembly 2022

Additional Options:

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