2017 Survival Series programs are sponsored by
Date: Wednesday, January 25, 2017
Time: 8:30 am—10:30 am
Place: Monroe County Medical Society
The Park at Allens Creek
132 Allens Creek Road
Rochester, NY 14618

Why is it important to understand scope of
practice?
Presenter:

How can you determine if an activity or task is
within the boundaries of a staff member?
Helen Zamboni, Esq.

What are the legal risks of violating the rules?

What can be done to manage risk?

How independent are NPs and PAs who are
employed in a physician’s practice?

What are the issues related to use of RNs, LPNs
and MAs in medical practices?
Helen has expertise in general
business, corporate and health
care law. She has experience in all forms of
business transactions, from the simplest
procurement contract to the mergers and
acquisitions of private and public companies. Helen
earned her Master of Business Administration
degree with honors from the William E. Simon
Graduate School of Business Administration, her
JD, cum laude, from Syracuse University College of
Law, and her BA, cum laude, from Mount Holyoke
College.
Underberg & Kessler LLP
Program Registration Fees
MCMS & 7th District Member: $30 per office (unlimited staff)
Non-member: $60 per office (unlimited staff)
Contact Us: For more information call (585) 473-7573.
Liability for the Actions of Others — (01-25-17)
Name(s): _______________________________________________________________________________
Practice Name: __________________________________________________________________________
Phone Number: __________________________ E-mail: _________________________________________
Photo Consent: Participants in MCMS programs may be photographed by staff members, I understand these photographs may
appear without compensation on MCMS social media pages; within MCMS marketing materials; on the MCMS website; or
other printed or electronic materials related to the role and function of MCMS.
_________________________________________________
Signature
_____________________________
Date
Registration Fees: MCMS and 7th District Member: $30 per office
Non-member: $60 per office
*Note to Nonmembers: If you complete a MCMS membership application within three months, the registration
fee will be applied to your first year’s dues payment.
Payment of $__________ is enclosed. (Check payable to “MCMS”)
Please e-mail a receipt.
Please bill my credit card (check one) for the amount of $_____________
Cardholder Name: _______________________________________________________________
Card Number #:______________________________ Exp. Date:_______ 3-Digit Verification Code: __ __ __
Address associated with card: ___________________________________________ Zip: _______________
Signature: ___________________________________
Monroe County Medical Society
132 Allens Creek Rd.
COMPLETED FORM AND PAYMENT TO:
MAIL, FAX or EMAIL
Rochester, NY 14618
Fax: (585) 473-7641
Email: [email protected]