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					Publications Order Form
Description                                                                                                                                Copies                                      Cost         Total
                                                                                                                                        (Specify Quantity)                             (Per Copy)

GENERAL PUBLICATIONS
ASA Bylaws 2009 .................................................................................................................................................. (GP01-PDF) Free PDF available ONLY online
ASA Standards, Guidelines and Statements 2009 ................................................................................................... (GP02-PDF) Free PDF available ONLY online
Challenge, Diversity, Flexibility, Rewards .................................................................................................................. (30503-5GP) Free PDF available ONLY online

PRACTICE PARAMETERS
Practice Advisory for Intraoperative Awareness and Brain Function Monitoring ............................................. ________ (30503-4PA-4PA) ............... $5 ________
Practice Advisory for the Perioperative Management of Patients with Cardiac Rhythm Management Devices .. ________ (30503-3PA-3PA) ............... $5 ________
Practice Advisory for Perioperative Visual Loss Associated with Spine Surgery ............................................ ________ (30503-5PA-5PA) ............... $5 ________
Practice Advisory for Preanesthesia Evaluation ......................................................................................... ________ (30503-2PA-2PA) ............... $5 ________
Practice Advisory for the Prevention and Management of Operating Room Fires .......................................... ________ (30503-6PA-6PA) ............... $5 ________
Practice Advisory for the Prevention of Perioperative Peripheral Neuropathies ............................................. ________ (30503-1PA-1PA) ............... $5 ________
Practice Advisory on Anesthetic Care for Magnetic Resonance Imaging...................................................................... (PA01-PDF) Free PDF available ONLY online
Practice Alert for the Perioperative Management of Patients with Coronary Artery Stents ............................................ (PA02-PDF) Free PDF available ONLY online
Practice Guidelines for Acute Pain Management in the Perioperative Setting ............................................... ________ (30503-1PP-1PP) ............... $5 ________
Practice Guidelines for Cancer Pain Management ..................................................................................... ________ (30503-3PP-3PP) ............... $5 ________
Practice Guidelines for Chronic Pain Management..................................................................................... ________ (30503-4PP-4PP) ............... $5 ________
Practice Guidelines for Management of the Difficult Airway ........................................................................ ________ (30503-5PP-5PP) ............... $5 ________
Practice Guidelines for Obstetric Anesthesia ............................................................................................ ________ (30503-6PP-6PP) ............... $5 ________
Practice Guidelines for Perioperative Blood Transfusion and Adjuvant Therapies .......................................... ________ (30503-2PP-2PP) ............... $5 ________
Practice Guidelines for Perioperative Management of Patients with Obstructive Sleep Apnea........................ ________ (30503-12PP-12PP) ........... $5 ________
Practice Guidelines for Perioperative Transesophageal Echocardiography .................................................... ________ (30503-7PP-7PP) ............... $5 ________
Practice Guidelines for Postanesthetic Care ............................................................................................. ________ (30503-11PP-11PP) ........... $5 ________
Practice Guidelines for Preoperative Fasting ............................................................................................. ________ (30503-8PP-8PP) ............... $5 ________
Practice Guidelines for the Prevention, Detection and Management of Respiratory Depression
Associated with Neuraxial Opioid Administration ...................................................................................................... (PG01-PDF) Free PDF available ONLY online
Practice Guidelines for Pulmonary Artery Catheterization ........................................................................... ________ (30503-9PP-9PP) ............... $5 ________
Practice Guidelines for Sedation and Analgesia by Nonanesthesiologists .................................................... ________ (30503-10PP-10PP) ........... $5 ________
Practice Guidelines for Sedation and Analgesia by Nonanesthesiologists 2009 (DVD)............... Regular price ________ (PG02-DVD) ................... $150 ________
                                                                                                                       Member price ________ (PG02-DVD) ................... $100 ________

CONTINUING EDUCATION
2009 Anesthesiology Continuing Education (ACE) Program (Book) ........................................... Regular price ________ (30702-8CE) ................. $800 ________
                                                                                                                   Member price ________ (30702-8CE) ................. $220 ________
2009 Anesthesiology Continuing Education (ACE) Program (CD) .............................................. Regular price ________ (30702-8CE-CD) ............ $800 ________
                                                                                                                   Member price ________ (30702-8CE-CD) ............ $220 ________
2009 Anesthesiology Continuing Education (ACE) Program (Web) ............................................ Regular price ________ (30702-8CE-WEB) .......... $800 ________
                                                                                                                   Member price ________ (30702-8CE-WEB) .......... $220 ________
2009 Self-Education and Evaluation (SEE) Program (Book) ..................................................... Regular price ________ (30701-9CE-1CE-1CE) .... $800 ________
                                                                                                                   Member price ________ (30701-9CE-1CE-1CE) .... $220 ________
2009 Self-Education and Evaluation (SEE) Program (Web) ...................................................... Regular price ________ (30701-09-1CE-WEB) ..... $800 ________
                                                                                                                    Member price ________ (30701-09-1CE-WEB) ..... $220 ________
Back issues of the 2007 SEE Program (Booklet only, Volumes A & B) ...................................... Regular price ________ (30701-07) ................... $350 ________
                                                                                                                    Member price ________ (30701-07) ................... $150 ________
Back issues of the 2006 SEE Program (Booklet only, Volumes A & B) ...................................... Regular price ________ (30701-06) ................... $350 ________
                                                                                                                    Member price ________ (30701-06) ................... $150 ________
Journal Anesthesiology CME (Available online only. Order at www2.ASAhq.org/journal-cme/web)
2009 Refresher Course Lecture Flash Drive ............................................................................................. ________ (CE05-FD)........................ $50 ________
2008 Refresher Course Lecture Flash Drive ............................................................................................. ________ (30105-08-3CE)............... $20 ________

PERIODICALS
ASA NEWSLETTER (Annual Subscription) ............................................................................... Regular price ________ (30502-1P) ................... $150 ________
                                                                                                                    Member price ________ (30502-1P) ....................... $0 ________




For free PDFs available online order at www2.ASAhq.org/publications/, unless otherwise indicated                                                       Page 1 Total: ________________________
Publications Order Form
Description                                                                                                                            Copies                                     Cost         Total
                                                                                                                                    (Specify Quantity)                            (Per Copy)

PHYSICIAN BOOKLETS
Chemical Dependence in Anesthesiologists: What you need to know when you need to know it.................... ________ (30503-3PB) ..................... $5 ________
FAQs About Anesthetic Considerations for Elderly Patients........................................................................................ (PB02-PDF) Free PDF available ONLY online
Natural Rubber Latex Allergy: Considerations for Anesthesiologists ............................................................ ________ (30503-2PB) ..................... $5 ________
Office-Based Anesthesia 2nd Edition 2008 (PB01-PDF online PDF option) ................................ Regular price ________ (PB01-PR) ....................... $20 ________
                                                                                                                         Member price ________ (PB01-PR) ....................... $10 ________
Operating Room Design Manual ........................................................................................... Regular Price ________ (30503-1PB) ................... $40 ________
                                                                                                                        Member Price ________ (30503-1PB) ................... $30 ________
Professional Liability and the Anesthesiologist ......................................................................................... ________ (30503-5PB) ..................... $5 ________
Questions and Answers About Blood Management - Fourth Edition ................................................................................................. Free PDF available ONLY online
Recommendations for Infection Control for the Practice of Anesthesiology, Second Edition .......................... ________ (30503-6PB) ..................... $5 ________
Stop Smoking Patient Brochure and Quit Line Card Display Stand (Single Stand)                                                                ________ (30503-19PE).................... $0 ________
Stop Smoking Starter Kit (10 Provider Brochures, 25 Patient Brochures, 25 Quit Line Cards, 1 Stand) ............ ________ (30503-20PE).................... $0 ________
Waste Anesthetic Gases Booklet ............................................................................................................. ________ (30503-7PB) ..................... $5 ________
Waste Anesthetic Gases Booklet with DVD ............................................................................................... ________ (30503-7PBD) ................. $10 ________
Waste Anesthetic Gases Booklet with VHS ............................................................................................... ________ (30503-7PBV).................. $10 ________
What You Should Know About Your Patients’ Use of Herbal Medicines
and Other Dietary Supplements (Package of 50) ....................................................................................... ________ (30503-9PE).................... $15 ________
Why Should I Recommend That my Patients Quit Smoking for Surgery? ...................................................... ________ (30503-16PE).................... $0 ________

PATIENT EDUCATION
Anesthesia & Me Checklist (Package of 50) Free PDF available online only ...................................................... ________ (30503-15PE).................. $15 ________
Anesthesia & You … DVD ....................................................................................................................... ________ (30503-1PEV) .................. $10 ________
Anesthesia & You … DVD (Package of 10) ............................................................................................... ________ (30503-1PEV-10) ............. $75 ________
Anesthesia for Ambulatory Surgery (Package of 50) Free PDF available online only ........................................... ________ (30503-7PE).................... $15 ________
Anesthesia for the Senior Citizen (Package of 50) Free PDF available online only .............................................. ________ (30503-3PE).................... $15 ________
Be Smoke-Free for Surgery (Package of 50) .............................................................................................. ________ (30503-17PE).................... $0 ________
Intraoperative Awareness Under General Anesthesia (Package of 25) Free PDF available online only Regular price ________ (PE04-PR)........................ $20 ________
                                                                                                                           Member price ________ (PE04-PR)................... $12.50 ________
Know Your Anesthesiologist (Package of 50) Free PDF available online only...................................................... ________ (30503-2PE).................... $15 ________
My Trip to the Hospital Coloring Book ...................................................................................................................... (PE01-PDF) Free PDF available ONLY online
Office-Based Anesthesia and Surgery (Package of 50) Free PDF available online only ........................................ ________ (30503-11PE).................. $15 ________
Patient Awareness Under Anesthesia DVD ................................................................................................ ________ (30503-14PE-DVD)........... $25 ________
Planning Your Childbirth: Pain Relief During Labor and Delivery (Package of 50) Free PDF available online only ... ________ (30503-4PE).................... $15 ________
Sedation Analgesia (Package of 50) Free PDF available online only .................................................................. ________ (30503-12PE).................. $15 ________
Stop Smoking Quit Line Card (Package of 50)........................................................................................... ________ (30503-18PE).................... $0 ________
The Management of Acute, Chronic and Cancer Pain (Package of 50) Free PDF available online only .................. ________ (30503-5PE).................... $15 ________
What You Should Know About Herbal and Dietary Supplement Use and Anesthesia .................................................... (30503-10PE) Free PDF available ONLY online
What You Should Know About Sleep Apnea (Package of 50) Free PDF available online only................................ ________ (30503-13PE).................. $15 ________
When Your Child Needs Anesthesia (Package of 50) Free PDF available online only........................................... ________ (30503-6PE).................... $15 ________

PATIENT SAFETY/RISK MANAGEMENT AND QUALITY IMPROVEMENT
2007 Manual for Anesthesia Department Organization and Management ................................ Regular Price ________ (30503-1PS) ................. $100 ________
                                                                                                 Member Price ________ (30503-1PS) ..................... $0 ________

PRACTICE MANAGEMENT
2010 Combo Package
(Includes RVGTM & CROSSWALK® Books & CD’s, & Reverse CROSSWALK® CD) ........................... Regular price ________ (PM10-CDPKG) .............. $750 ________
                                                                                                                      Member price ________ (PM10-CDPKG) .............. $250 ________
2010 CROSSWALK® (Book Only)........................................................................................... Regular price ________ (PM10-CW) .................... $300 ________
                                                                                                                      Member price ________ (PM10-CW) .................... $100 ________
2010 CROSSWALK® Package (Includes CROSSWALK® CD & CROSSWALK® Book) ..................... Regular price ________ (PM10-CCD) .................. $450 ________
                                                                                                                      Member price ________ (PM10-CCD) .................. $150 ________
2010 Relative Value Guide® (Book Only) ............................................................................... Regular price ________ (PM10-RV) ....................... $75 ________
                                                                                                                      Member price ________ (PM10-RV) ....................... $25 ________
2010 Relative Value Guide® Package (Includes RVGTM CD & RVGTM Book) ................................. Regular price ________ (PM10-RCD) .................. $300 ________
                                                                                                                      Member price ________ (PM10-RCD) .................. $100 ________
2010 Reverse CROSSWALK® (CD Only) ................................................................................. Regular price ________ (PM10-RCW) .................. $150 ________
                                                                                                                      Member price ________ (PM10-RCW) .................... $50 ________




For free PDFs available online order at www2.ASAhq.org/publications/, unless otherwise indicated                                                   Page 2 Total: ________________________
Publications Order Form
Description                                                                                                                     Copies                                   Cost         Total
                                                                                                                              (Specify Quantity)                         (Per Copy)

PRACTICE MANAGEMENT (CONTINUED)
Abstracts From the 2009 Conference on Practice Management ................................................................. ________ (PM01-PR) ....................... $50 ________
Abstracts From the 2008 Conference on Practice Management ................................................................. ________ (30503-21PM-All)............. $50 ________
Abstracts From the 2007 Conference on Practice Management ................................................................. ________ (30503-20PM) ................. $50 ________
Abstracts From the 2006 Conference on Practice Management ................................................................. ________ (30503-19PM) ................. $50 ________
Abstracts From the 2005 Conference on Practice Management ................................................................. ________ (30503-18PM) ................. $50 ________
Practice Management: The HIPAA Privacy Rule in Anesthesia and Pain Medicine Practices ........ Regular price ________ (30503-17PM-HCD)........ $125 ________
                                                                                                              Member price ________ (30503-17PM-HCD)........ $100 ________
Starting Out: A Practice Management Guide for Anesthesiology Residents (order at www.ASAwebapps.org) ................ (30503-12PM) Free PDF available ONLY online
Why the Medicare Fee Schedule Is the Wrong Benchmark
for Commercial Anesthesia Payments (Booklet) Free PDF available online only ......................................................... ________ (30503-6SI) .................... $10 ________




For free PDFs available online order at www2.ASAhq.org/publications/, unless otherwise indicated                                             Page 3 Total: ________________________
Publications Order Form
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            Please call (847) 268-9133 or e-mail publications@asahq.org for orders over $2500 and non-U.S. shipping and handling rates

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Name on Card: __________________________________________                                     Mail payment and completed form to:
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                                                                                                                                          Revised 01/05/2010