Hosted by the Neuropathy Action Foundation
Wednesday, June 20, 2012
10:00 AM to 4:30 PM
Sheraton Grand Hotel , 1230 J Street, Sacramento, CA 95814Program and Agenda
9:30 – 10:00 Registration
10:00 – 10:10 Welcome and Overview – Sharon Ito, News Anchor/Reporter, News10, KXTV-Sacramento, CA
10:10 – 11:00 Partnering with Your Doctor: Asking for Help – Mazen Dimachkie, MD, Professor, University of Kansas Medical Center
11:00 – 11:45 Natural Options in Treating Neuropathy – Eric Hassid, MD, CEO/Medical Director, Institute for Restorative Health
11:45 – 12:15 Break

12:15 – 1:30 Lunch Program
Living With Diabetic Neuropathy: Tips From A Hollywood Celebrity
Jerry Mathers, American television, film, and stage actor. Best
known for his role in the television series Leave It to Beaver , in which
he played “Beaver” Cleaver.

“Legislator of the Year Award” – CA State Assemblymember Jared Huffman (Marin/Sonoma)

“You Are Our Hero Award” – Barby Ingle, Executive Director, Power of Pain Foundation (POPF)

Neuropathy Action Foundation Update – Dominick Spatafora, President, Neuropathy Action Foundation

1:30 – 2:05 The Hero’s Journey: Learning to Cope With Chronic Pain – Daniel Rockers, Ph.D., Sacramento Psychologist
2:05 – 2:45 The Human Element: No Excuses for Blood or Plasma Shortages – Leslie Botos, Vice President of Public Affairs, BloodSource
2:45 – 3:10 Refreshments
3:10 – 3:40 Neuropathic Pain: The Untold Consequences of Chemotherapy – Todd Levine, MD, Clinical Assistant Professor, University of Arizona
3:40 – 4:10 Traumatic Neuropathies and Nerve Repair – Jeffrey Ralph, MD, Associate Clinical Professor, University of California, San
Francisco
4:10 – 4:30 Ask the Experts – Your Neuropathy Questions Answered – Jonathan Katz, MD, Chief of Neuromuscular Services at California Pacific Medical Center, Todd Levine, MD, Clinical Assistant Professor, University of Arizona, Jeffrey Ralph, MD, Associate Clinical Professor, University of California, San Francisco

If you would like to attend please complete the attached registration.

6th Annual “Neuropathy Action Awareness Day”

Registration Form
(Return by June 11 to avoid a $50 charge)
Wednesday, June 20, 2012
10:00 AM to 4:30 PM
Sheraton Grand Hotel
1230 J Street, Sacramento, CA 95814

Name _______________________________________________________

Address _____________________________________________________

Phone _______________________ Email __________________________

Please check off which events you will attend:

_____ I am attending the seminars and exhibits: FREE

_____ I am a neuropathy patient or caretaker and will attend the Luncheon: $15 per person

_____ I am NOT a neuropathy patient or caretaker and will attend the Luncheon: $100 per person

____ I cannot attend but would like to make a contribution in the amount of $____

Total Number of People Attending Event: __________

Payment:

_____ My check or money order, payable to Neuropathy Action Foundation (NAF), is enclosed.

_____ Please charge my credit card for $_____ ¬ MasterCard ¬ Visa ¬ AMEX

Credit Card Number ____________________ Expiration Date ____________

Name As It Appears On Card __________________________________

Signature _________________________________ Date __________________

Please mail your completed form (and check, if applicable) to:
Neuropathy Action Foundation
18650 N. Thompson Peak Pkwy, #1021

Scottsdale, AZ 85255

The NAF is a 501(c)(3) tax exempt organization as described under Section 501(c)(3) of the Internal Revenue Code. Your charitable contribution is tax deductible according to limits provided by law. Tax ID #20-4792248. Please note that the NAF does not endorse any product, program, treatment or speaker. Please consult with your personal physician regarding products or treatments.