This 3 day forum will address the cervical spines’ involvement in the production of headaches, migraines, TMJ & oral-facial pain, as well as, unexplainable and unrespon-
sive tooth pain, tinnitus/ear fullness, sinus pressure,
Physicians, Dentists, Orthodontists, Periodontists, TMJ Specialists, Physical Therapists & Assistants, & medical professionals working with patients experiencing headache, migraine, TMJ & oral-facial pain, dizziness, vestibular problems, unsteady gait, cervical radiculopathy, unexplainable tooth pain, tinnitus, sinusitis, visual disturbances, and nausea.
No prerequisite seminars are required.
For Further Information
Contact: Johanna Baartmans at HealthQuest PT
(248) 650-4404
Continuing Education Credit
This symposium has been approved by the Michigan Boards
of
Dentistry, Medicine, & Osteopathic Medicine
15.00 CE
Headache, TMJ & Orofacial Pain
Symposium
Registration Form
Last Name
First Name
Medical Profession: MD, DO, DDS, PA, PT, PTA, ATC
Home Address
City
State
Zip Code
Home Phone
Email
Employer
Work Address
City
Zip Code
State
Work Phone
To pay by credit card for the
Headache, TMJ & Orofacial Symposium
more than 2 wks. prior to the seminar ($395),
click the "Buy This" button below.
1. CREDIT CARD
All major credit cards may be used to register for the symposium through our "PayPal" credit card service.
First, complete the Registration Form on the left of this page and click the "Submit" button to send it to us. Then, click the appropriate "Buy This" button below for your VISA, Mastercard, Discover, or American Express payment option.
2. CHECK
If you prefer to pay by check, please copy the registration form to the left, fill it out and mail it with your check to;
American BackPain Center
PO Box 101
Anchorville, Michigan 48004
Make checks payable to; American BackPain Center
Registration Fee;
$395 if postmarked more than 2 weeks prior to the start of the symposium.
$450 if postmarked less than 2 weeks prior to the start of the symposium.
Upon registration, a letter of confirmation including hotel information and a map of the venue will be sent. Includes continental breakfast, a.m. & p.m. coffee breaks, and symposium manual.
Certificates of attendance will be given to all participants at the conclusion of the symposium and may be used for those who need Continuing Medical Education Credits (CME).
Refunds will be given, less a $50 administrative fee, if written notice is received by the Sponsor no later than 14 days prior to the start of the symposium.
Hotel: The upscale Troy Marriott Hotel offers luxurious sleep rooms, an outstanding restaurant and lounge, and a grand two tiered conference room with state-of-the-art audio visuals.
A special group rate of $91
per night has been arranged.
When making your reserva-
tion identify yourself as
being with the American
BackPain Center Headache
Symposium. Reservations
must be made by
April 18, 2012 to
receive this special rate.
General Info.
Symposium Venue
Troy Marriott Hotel
200 W. Big Beaver Road, Troy, Michigan ,
United States 48084
Tel: 1-248-680-9797
Guest Accommodations
Rest assured, you'll sleep well atop
Marriott Troy's new pillowtop
mattresses with down blankets and
pillows. Our 350 guest rooms and
suites are furnished with granite
vanity countertops and a warm
decor. While Marriott Troy offers full
service conveniences from room service to onsite dry cleaning, we let you choose just how much you want to be pampered. Each room is non-smoking and equipped with: 37" flat screen TVs
individual climate control / full-size iron & ironing board / hair dryer / coffee maker / 2 phones with data ports / wireless high
speed internet access
/ movies on demand
/ complimentary news-
paper delivered to your
room.
Recently Renovated Lobby
Date & Location
May 18-20, 2012
Troy Marriott Hotel
Troy, Michigan
Sunday May 20, 2012
Conference Room
This years symposium will be held in the Troy Marriott's spacious Mediterranean Ballroom. This two tiered, state-of-the-art venue boasts 3,225 square feet with comfortable table & chair classroom seating for 200.
Restaurant
Lounge
Hotel Ammenities
Indoor Pool
Whirlpool
Fitness Room
Complimentary Shuttle (5 mile radius)
Free Parking
The primary objective of this symposium is to present both
scientific and clinical evidence supporting the association
of cervical pathology to the production of head & TMJ/
orofacial symptoms, and exciting new
examination and treatment options
Symposium Social Events
Last years inaugural symposium was a huge success with 93% of the attendees saying they would return next year. A large part of that success included the opportunity to network and socialize with spine practitioners and medical professionals from more than 25 states. To enhance the symposiums’ social occasions, we have expanded to 3 days and moved our venue to the upscale Troy Marriott Hotel. This new location provides us with a spacious state-of-the-art conference room, free shuttle service to the Somerset Collection (Somerset Mall) and a variety of excellent restaurants, all within a 1 mile radius.
We hope you will consider joining your speakers and colleagues for the following social events:
Friday Night: The Troy Marriott has reserved a private reception and dining area just behind the main bar for our 5:30-7:00 Cocktail Party and 7:00 pm dinner. To expedite service, the hotel restaurant will provide a full service, limited menu.
Saturday Afternoon: We adjourn at 1:00 pm to head 1 mile west to the only luxury shopping destination between Chicago and the East Coast, the Somerset Collection.
With over 180 stores and 15 restaurants, this is an afternoon you won’t want to miss. An architectural wonder, this mall is anchored by the nations finest retailers including Nordstrom, Neiman Marcus, Saks Fifth Avenue, Macy’s, Gucci, & Tiffany’s. The hotel provides free shuttle service to the mall and area restaurants.
Saturday Night: You could easily loose track of the time at Somerset so plan on leaving around 5:30 pm to head back the 1 mile east toward our hotel but keep going 0.3 miles past the hotel to our evening restaurant destination, Bahama Breeze. This casual, Caribbean atmosphere is a sure way to relax. We have reserved the restaurant’s semi-enclosed outdoor deck with cozy fireplace and live music for 6:00 pm.
Social Events
All social events are optional and can be changed at any time. We have some great social events planned. Scroll below for details before checking your selections here.