Northern Sights Newsletter

North Dakota Vol. 30 Issue 4 August 2018 Optometric Association President’s Message ~ Dr. Darin Johnson 921 South 9th Street, Ste. 120 Bismarck, ND 58504 Phone: 701-258-6766 Wow, summer is Secondly, we are working on the health Fax: 701-258-9005 flying by. I hope eve- care trust. This could be a great option for E-mail: [email protected] ryone has had the our members to have a potential cost saving Website: www.ndeyecare.com opportunity to get out alternative for reliable health insurance.

and enjoy the beauti- Nancy has been working hard to make sure

2018 NDOA OFFICERS ful we can offer this benefit, and keep it afforda-

Dr. Darin Johnson weather. I feel as if ble for our members and their employees. time is slipping by, President Lastly, I am working on a more consistent and I have not accom- 1525 31st Ave. SW, Ste. E and repeatable sponsorship form. There is plished much for the Minot, ND 58701 some stress about our questionable future of NDOA this summer, 701-857-6050 sponsorship, and support from members in but we have many irons in the fire. We [email protected] our industry. It is our obligation as optome- would like to say thank you to our members trists to make sure we recognize our spon- Dr. Nate Shilman who were able to make the NDOA spon- sors, and thank them for their continued sup- President Elect sored golf outing in Bismarck. It was a suc- port of the NDOA. Please speak to all your 2273 3rd Ave West cess as far as the number of attendees, and Dickinson, ND 58601 vendors, and always mention how much we we always have great sponsorship for this 701-225-7886 appreciate their continued support and en- event. [email protected] gagement with the active members of the First, I would like to discuss our recent trip NDOA. Dr. Krista Heil to Denver for Optometry’s Meeting. Nate Vice President I look forward to seeing many of you at and I had a great meeting and we feel as if 111 E Century Ave our fall meeting. As always, please feel free the AOA is well placed, and prepared for the Bismarck, ND 58503 to reach out to me with any questions, con- long battle ahead. The biggest battle I feel 701-222-1420 cerns or ideas on how we can continue to we face as optometrists is the unregulated [email protected] keep our organization engaged and active. dispensing of glasses and contact lenses. The Dr. Leslie Hellebush AOA is using every option they have in Secretary/Treasurer fighting this dangerous practice. We all In This Issue: 204 W Century Ave know how risky this is, and how misleading  President’s Message Bismarck, ND 58503 and uninformed these companies are, as they 701-255-0186 are distributing these medical devices ille-  Executive Director Message [email protected] gally under current law. Please make sure  NDOA Golf Outing you are reporting any violations to the AOA,  Patch Start Up Dr. Amy Mitzel DuBois and if you have any questions about report-  115th NDOA Annual Past President Congress– Tentative Agenda 3232 13th Ave. South ing you can contact them directly by calling 1-800-365-2219.  Optometric Success Story Fargo, ND 58103  Opternative in the News 701-280-3000 [email protected]  Classified Ads

Northern Sights August FROM THE DESK OF YOUR EXECUTIVE DIRECTOR

Quote: “ It is not the strongest, or the most engagement of association initiatives and connect the dots intelligent, who will survive, but those with networking opportunities. (Baby Boomers, Gen X, Y who can best manage change.” Don’t put etc.) In addition, I’m feeling a lot of anxiety, as to a percep- this off, but instead prepare to manage tion and future support by industry that contract for exhibit change! space, if minimal attendance is not realized at the NDOA Statistically speaking, the demand for Annual Congress November 1-2, in Bismarck. Make my corrective devices and services continues life less stressful and please plan to attend! to grow, driven by the population growth We and you all are approaching the time of year when in North Dakota, an aging population and steady product “It’s Back to School”! As a Leadership Sate that supports upgrades. Important to note, you should be seeing the de- the Think about Your Eyes Campaign, did you know: mand for medical eyecare services are growing at a pace of  Nearly 50 % of parents with children under the age of 6 nearly three times the growth of comprehensive eye exams. have never taken their child to the eye doctor? In the past year, you all have experienced an impact on  3, the number of eye exams recommended for children the eyecare demand in one way or another by managed care by the age of 6. and government, by realizing the facts of:  60% of parents don’t feel an eye exam is an essential  Third-party payers account for 70+ percent of ECP rev- part of a child’s healthy checkup schedule. enue.  1/2 of parents falsely believe only children who need  Insurer consolidation increasing leverage over provid- glasses or contacts need to see an eye doctor. ers (BCBSND/ VSP) During the restructure of your NDOA, be mindful that in  Expanded patient access to care; reduced provider ac- the interim we are still taking advantage of absolutely every cess to patients (Online exams and Optical Retailers) window of opportunity that may exist, such as a ND School  Deflationary reimbursements Nurses Association Executive Committee Meeting last As of early February, I, your NDOA Board, the Vision week, where Dr. Danielle Moch and myself addressed the Advisory Committee, and a few very agitated members, need to close the gap on school vision screenings; those have worked feverishly, to address adverse issues regarding children identified as failing the screening and follow up the BCBSND/VSP Vision Plan Transition. After BCBSND care. announced in early February, their decision to partner with In closing, I would like to solicit volunteers to serve on a VSP, during a conference call with the Vision Advisory Task Force to meet the immediate needs of association ac- Committee, I feel like Dr. Dori Carlson stated after the an- tivities: (minimal time commitment) nouncement, “excuse me, I’ll make comment after I pick 1. Education Chair and Co-Chair : Dr. Kristin Kosir has myself off the floor…”! The effective date of the transition served for at least 10 years. Thank you so much Dr. was July 1, 2018. Some members will transition on their Kosir! anniversary dates July-December , with the full transition 2. Legislative Committee—NDOA PAC. Form grassroots by January 2019. To keep you informed going forward we connections within the NDOA. will provide periodic updates via email. 3. NDOA Conference Coordinating Committee. Bismarck We have a lot of restructuring to do within the NDOA in and Fargo. Social Activity planning. the next year, to address changes occurring within the pro- 4. NDOA Communications– Co-author namely the bi- fession; the majority of those that one cannot accomplish monthly, or quarterly NDOA Newsletter and Website. success alone. One such issue to tackle immediately , is to We want to deliver timely and Relevant information, so stage a successful 2018 NDOA Annual Congress Novem- a practicing members input is so much appreciated, ber 1-2 in Bismarck. We all realize that there are few North than staff second guessing what communication you Dakota licensees that have not already obtained the re- have already received from other sources. quired 50 hours of CE for the 3 year cycle ending 12-31- 18. In addition, the number of hours of education provided The Self Funded Health Insurance Plan along with the by online formats, local clinics and the regional/ national ND Pharmacists Association is well on its way to becoming destination conferences have recently deemed to have a a reality in January 2019, as a member benefit. We’ll keep dramatic affect on the NDOA’s ability to coordinate events, those interested informed as best we can. The NDOA has that have for many years provided 30% of your associa- 146 currently insured employees, plus 58 potential new tion’s operating budget as non-dues revenue. The NDOA insured, for a total of 204. staff and Board have the fiduciary responsibility to balance Happy “Dog Days of Summer” and as always feel free to an annual budget, as well as compliance to the NDOA By- contact the NDOA Office, or preferable your NDOA Board Laws , to conduct an Annual Meeting. We are working dili- with questions or concerns on “Defining The Future of Op- gently to stage an Annual Meeting that we hope will entice tometry and Your NDOA!” you and your staff to continue support of your NDOA, Northern Sights August 2

Northern Sights August 3

2018 NDOA Golf Outing Paraoptometric resources benefit the entire practice Staff knowledge is vital, and that’s why more AOA doctors We had a great time getting together this year for the NDOA are taking advantage of a member benefit that helps doc- Golf Outing. It was a chance to reconnect with fellow OD’s, tors revolutionize the hiring and training of their care team. see what is new in the field of optometry, and have some fun as well. We had a good turn out this year with 7 teams. Paraoptometrics can enroll as AOA associate members – at Congratulations to the winning teams! no cost to member doctors – to access educational and de- 1st Place velopmental resources available through the Paraoptomet- Jason Schaff, Blaine Burdick, Mike Koeppe, and Josh Blikve ric Resource Center. nd The nation’s largest organization serving the needs of opto- 2 Place metric assistants and technicians, the Paraoptometric Re- Guy Otteson, Paul Dunderland, Steve Kourajian, Julie Jeske source Center, offers associate member benefits, including: Thank you to our sponsors who really go above and beyond • Free, online CE worth six hours of credit to make these events possible. • Paraoptometric Skill Builder® Beginner Level 1 Speaker/ Even Sponsor program Essilor Labs • Access to member-only web pages Beverage Cart and Social Hour • Discounted fees for paraoptometric education Walman Optical materials Lifetime Vision Source- Reduced registration fees for Optometry’s Meeting® Dr. Larry Motacek These benefits equip staff with the knowledge and skillset Fercho Cataract and Eye necessary to optimize your practice performance – and best Clinic of all, it’s something all AOA members can access. Just Hole Sponsors enroll staff today, at www.aoa.org Dakota Eye Clinic Only NDOA practiced, have enrolled paraoptometric Sanford Health Plan staff for a total of 71 AOA Associate Members. A benefit some truly are not utilizing to build on your practices. Dakota Eye Institute

Patch: Helping ECPs Deal With Out-of-Network Patients Reprint- Vision Monday

There are possibly thousands of technology startups that emerge in the health care marketplace every year, and just about every- one is looking to hit upon an idea that breaks new ground for its user base. Patch, a San Francisco-based startup, counts itself among the new businesses that believes it has hit upon a unique approach to solving a longstanding health care problem. Patch, on its website, calls itself “the first universal platform for vision care that manages patient eligibility and claim filing for out-of-network vision plans in one simple application.” “We found that right now the method for being able to figure out what people’s benefits are and help them to understand them—and the difference between in and out of network and filing for reimbursements at the point-of-sale—is a really complex process,” said Patch co-founder and chief executive officer Brett Plotzker. “It’s sort of unnecessarily complex and we wanted to make it simpler.” The goal for Patch, is to help ECPs dealing with out-of-network patients in a few different ways. First, for ECPs who have chosen to operate without participating in managed vision care plans, the Patch system and process enables them to facili- tate reimbursements for their patients without actually having to take the insurance.

In addition, the Patch system also helps ECPs by lowering the administrative aspect related to out-of-network patients, reducing the ambiguity, moves the reimbursement process to a digital environment and helps ECPs operate their practice more efficiently. The core part of Patch’s model is to play the role of tech innovator in the managed vision care sector and to provide a unique ability to integrate core insurance features into traditional e-commerce and in-practice workflows. This allows ECPs to serve patients faster, and to ensure a more positive experience when dealing with out-of-network benefits. Patch has developed marketing materials for ECPs to use in their practice to promote their out-of-network capabilities and that the company has established business relationships with ECPs in 42 states, primarily independents. We haven’t started working with any of the bigger groups yet, but a lot of people have gotten in touch with us. Looking ahead, Patch sees a use case in almost every practice and that the company’s next milestone is to have more than 1,000 providers on board. This could happen within the next six to 12 months. Really, the most important thing for us is deliver- ing value to people and people seeing the value of our product. Stay tuned as your NDOA pursues initiatives and partnerships with addressing vision plan providers issues in the future.

Northern Sights August 4 NDOA 115th Annual Congress Tentative Agenda November 1-2, 2018 Radisson Hotel—Bismarck

Dedicated volunteer leaders and a STRONG and varied 5:30 PM - 8:30 PM membership are what bring STRENGTH to the North Dakota Exhibit Hall and Entertainment Optometric Association. As the statewide voice of your chosen profession of optometry, it is important for the NDOA to reflect that strength, but only through enhancing the Friday, November 2, 2018 comradery within; COMING TOGETHER and celebrating 115 YEARS OF ORGANIZATION, NOVEMBER 1-2, 2018 in 8:00 AM -9:00 AM BISMARCK! Breakfast Whether you need CE Hours for license renewal or not, your continued support on a local in-state basis, has never been 9:00 AM - 12:00 PM more important, than now. Yes, we are aware of numerous OD Education Sponsored By Vance Thompson Vision educational opportunities locally free, online or preferred des- tinations, are readily available to you. 9:00 AM -11:00 AM Sneak Preview Agenda “U Fit: A Scleral Lens Wet Lab”

11:00 AM -12:00 Noon Thursday, November 1, 2018 “IOL’s, Injectables and Drug Delivery Devices: How New Technologies are Literally Changing The Way Eye Care Is 9:00 AM - 12:00 Noon Delivered” NDOA’s Board of Directors Meeting 9:00 AM - 12:00 PM 11:00 AM Para Optometric Education Registration Sponsored by Walman Optical Institute

12:00 Noon—5:00 PM 9:00AM - 10:00 AM OD/Office Managers/Para Optometric Joint Practice Man- “From Bricks to Clicks” agement and Compliance Session 10:00AM -11:00AM “Recall: The Silent Killer of Growth” 12:00 PM –2:00 PM 11:00AM– 12:00PM “Healthcare Reimbursement: Just The Facts” “No Blue For You!” 2:00 PM - 4:00 PM “ Practicing Excellence In a Changing Health Care World” 12:00 PM -2:00PM 4:00 PM - 5:00 PM NDOA Membership Meeting and Awards Luncheon “Is This Job (Negotiating With Third Party Payers) Right For Us? 2:00PM– 4:00PM

OD Education 1:00 PM - 5:00 PM Sponsored by: Dakota Eye Institute Para Optometric Education

Sponsored By: Walman Optical Institute 2:00 PM– 4:00 PM

“Latest In Glaucoma Laser Procedures” 2:00 PM - 3:00 PM

Managing Objections –First Aid for Bad Conversations 3:00 PM - 4:00 PM “The Ethical Sell” 4:00 PM – 5:00 PM “Keeping Patients In a Highly Competitive Environment”

Northern Sights August 5

Optometry Success Story OPTERNATIVE IN THE NEWS

Opternative has entered into a partnership with Mexican The NDOA is searching for personal stories from members optical retailer Ben & Frank, a move that will, for the first that highlight the importance of regular in person eye exams, time, give consumers outside the U.S. access to its online such as the following shared by the AOA. Please share your vision test. The results of the test, which has been availa- stories to the NDOA at: [email protected] ble to American consumers for since 2012, are used to

generate prescription for eyeglasses or contact lenses. The following success story is shared by AOA member Dr. “Launching our first international partnership with Ben & Enjoli Cooke: Frank is a big step forward in reaching our vision to cre-

ate a world where eyecare is available to anyone, any- Late last fall, I saw a fifteen-year-old boy for a compre- where, anytime,” said Brent Rasmussen, CEO, Opterna- hensive exam. Systemic history was remarkable for Type 1 tive. “We’re excited to continue bringing affordable and diabetes, seasonal allergies, and premature birth with mal- accurate online vision tests to many other patients world- formed organs. We went through a very frustrating refraction wide in 2018.” and his BCVA was only around 20/30. Autorefraction elicit- Mariana Castillo, CEO, Ben & Frank, remarked, ed much more cyl than he was accepting. I picked up my “Partnering with Opternative allows us to provide an af- trusty retinoscope and noted a scissoring reflex and did the fordable eyewear experience from start to finish. Our cus- best possible with these objective findings. His mother re- tomers can now complete both an online vision test and ported that she had taken him to the best ophthalmology clin- an eyewear purchase at a reasonable price.” ic in our area and they were always told he was not correcta- Rasmussen said that more 300,000 people in the U.S. ble to 20/20 due to his diabetes (which I found a little odd as have taken Opternative’s online vision test over the past DFE was negative for retinopathy). SLE was remarkable for several years, and more than 200,000 prescriptions have large conjunctival papillae and mild inferior corneal thinning. been issued. “Some patients are disqualified to take the I ran a topography, which was consistent with early kerato- test, and we recommend them directly to an optometrist,” conus. Given the patient’s physical build, I asked whether he noted. Marfan’s disease or Ehlers-Danlos had ever been mentioned Opternative has run into stiff resistance from optomet- by a previous physician. She denied him ever being tested for ric associations that have mounted legal challenges in these things. We proceeded with spectacle correction and some states in the U.S. and is also under scrutiny from the treatment for allergies at this time. We discussed the cross- Federal Food and Drug Administration. On Oct. 30, 2017, linking procedure, but his diabetes needed to be under better Opternative received a warning letter from the FDA ad- control before proceeding with that. The patient’s mother vising that the company’s online eye examination mobile wanted to be referred to a corneal specialist, who later con- app does not have the agency’s marketing clearance or firmed the diagnosis of keratoconus. We set up a plan to fit approval and is in violation of the Federal Food, Drug and him with RGPs after the school year ended so he wouldn’t Cosmetic Act. The FDA asked Opternative to submit a have to take off school for the appointments. premarket submission of information that would allow the Fast forward to May, the patient’s mother called to inform agency to evaluate the app’s safety and effectiveness. me the patient was hospitalized for 1 month due to severe Rasmussen has indicated that Opternative has complet- internal bleeding. Doctors were not able to give any answers ed a clinical trial with a CRO (Contract Resource Organi- as to why this happened. The mother remembered my ques- zation, an independent, third-party organization that per- tioning about connective tissue diseases, so she got the pa- forms clinical testing) and is submitting the results to the tient in with a geneticist and he was diagnosed with Arterial FDA. “We’re working very closely with the FDA each Tortuosity Syndrome, which he reported explained the kera- and every week to ensure accuracy and efficiency,” he toconus, his physique, malformed organs at birth, and diffi- said. culty controlling his diabetes. The mother told me, if it had Opternative could face similar legal challenges as it ex- not been for the diagnosis of keratoconus or the discussion pands internationally, depending upon the regulations of about the possible involvement with connective tissue disor- each market it enters. Rasmussen said Opternative will ders, she would have never thought to make an appointment work with its local partners to navigate potential regulato- with a geneticist. Although our management plan of this pa- ry issues. tient would not change with this discovery, it feels great to “We will only enter a market outside the U.S. with a partner,” he explained, adding that the company’s interna- have other healthcare professionals along this family’s jour- tional partnership are non-exclusive. “We’re pursuing an ney recognize how much value a comprehensive eye exam omnichannel solution with partners that are both online can have in someone’s life! and brick and mortar, and some that are only brick and mortar without e-commerce presence.”

Northern Sights August 6 Classifieds & Employment Opportunities BCBSND/ Vision Service Plan (VSP) Process for Out of Network (OON) Providers: FULL-TIME ASSOCIATE OD POSITION This practice has an excellent reputation for patient care, newest equip- VSP has created a separate number for OON providers in ment, and state-of-the-art finishing lab. We are 30 years old and going North Dakota to utilize to access patient information. strong with a brand new facility in 2011.The position includes benefits and retirement.  Please call: 1-844-830-7715. Send cover letter and CV to Eyewear Concepts PO Box 149 Dickinson, ND, 58601  When prompted, you will need to enter the member’s Or Email: [email protected] Unique Member Identifier (UMI). The patient should have

this information, if the do not have this information they HELP WANTED ASSOCIATE OPTOMETRIST IN WESTERN ND will need to call BCBSND Member Services at 1-800-342- Looking for caring and personable optometrist to join our eye care 4712, or log in through the member’s web portal. team, the position is full time and flexible. Base salary $117,000/year with production incentives based on gross production. Interested op-  You will have the option to use self– service or request to tometrists please call: Vincent Biesiot at 701-483-1466 or email: vince- be routed to a Customer Service Representative (CSR) [email protected]  The provider would not be able to call on the patient’s be- half, but if the patient would like to have the OON provid- OPTOMETRIST- FULL TIME er with them, they can conference call Member Services The North Dakota Eye Clinic, Ltd. is a 60+ year old ophthalmology practice in Grand Forks, ND and has a great opportunity for an excel- and receive assistance that way. lent clinical and general OD. We focus on a world-class patient expe- rience from the all touch points of the patient's visit. We are a growing practice and we're building a new state of the art clinic in the coming Note: This phone number is for OON providers in North Da- year! FULL TIME position. Monday-Friday. Wonderful benefits including paid vacation and CME, excellent base pay with production kota only. All other inquiries will receive a standard messaging incentives and generous 401K. Interested and qualified applicants and the call will be disconnected. should send their resume, and cover letter to: Nick Trapnell, [email protected]

Northern Sights August 7

LASIK Cataract Glaucoma Cornea Dry Eye

You are your patients’ trusted primary eyecare provider. At Vance Thompson Vision our goal is to provide you and your patients with the most advanced surgical procedures available in the world today. Together, we create clear answers about clear vision. VANCETHOMPSONVISION.COM Northern Sights August 8

District 1—Williston District 13-West Fargo District 25– Wahpeton District 37-Dickinson Senate Senate Senate Senate -R* –R* Larry E. Luick-R* Travis Brazelton-D Melissa Johnson– D Carrie Leopold-D Perry Miller-D -R* House House House House -R* Dianne Hyndman-D Cindy Beck-R Keith Fernsler-D Crysta Parkinson-D -R* Bill Berlin-D -R* -R Landis Larson-D Rebecca Forness-R Fern Pokorny-D Lindsay Walsh-D -R -D* -R*

District 3– Minot District 15– Devils Lake District 27-Fargo District 39-Bowman Senate Senate Senate Senate –R* -R* Quinn Joseph Garrick-D Dale Patten-R Joseph (Joey) Nesdahl– D Barbara Vondell-D -R House House House House -R* -R Dennis Johnson-R* -R* -R* Shannon R Krueger-D Bill Mertens-D Randy G Boehning-R* -R -R* -D District 41- Fargo Bob Schwartz-D Jon Kitzman-D Senate District 17– Grand Forks Timothy E Sizemore-L Kyle Davison-R* District 5– Minot Senate Paula Thomas-D Senate -R* District 29- Jamestown House Randy Burckard—R* Phyllis E. Johnson-D Area Pamela Anderson-D* David Grimes Haugen– D House Senate -R* House Monte Gaukler-D Katherine Roth –D Brandon Medenwald-D Jay Fisher - R Mark Owens-R* Terry M Wanzek-R* Michelle Strinden-R -R* Mark Sanford-R* House Zachary M. Raknerud-D Angela Urlacher-D Lori Carlson-D District 43-Grand Forks -R* Senate District 7-Bismarck District 19-Northwood -R* JoNell Bakke –D Senate Senate Mary Schlosser-D Lonnie Laffen-R* – R* Robert Fors– R House House Nikolaus Groenewold-D District 31-Mott -D -R* House Senate Richard S Becker-R* -R* Linda Ott Tangen-D Rachele Hall—D -D Paul R Wilkins-D -R* – R* Ben Olson-R -R* House District 9-Rolette Joshua Johnson-D District 45- Fargo Senate District 21-Fargo -R* Senate – D* Senate Jim Schmidt-R* Danielle Pinnick-D House Sierra Heitkamp-R Ronald Sorvaag-R* -D* –D* District 33-Center Area House Marvin E Nelson-D* House Senate Tim Hoye-D LaurieBeth Hager-D -R* Mary Johnson-R* District 11-Fargo William H Kloubec-R House -R* Senate Madison Rodgers-R -R* Lukas A Maughan-D -D* Mary Schneider-D* Bill Tveit-R Todd McMichael-R District 47- Bismarck House District 23– New Rock- District 35- Bismarck Senate -D* ford Senate Mike Dwyer-R Bridget Ertelt-R Senate Gary Emineth—R Brandi Jude-D -D* Judy Estenson-R -D* House Kathy Jorgenson-R -D* House Lawrence R Klemin-R* House Joe Elsberry-D Sabina McGarrahan Gasper-D -R* -R* -R* Jessica Dillon Hawkes-D -R* Cathy Swenson-D Rachel Thomason-D -R*

Northern Sights August 9

The Wall of “FAME” or the Wall of “SHAME” Which is it? PREPARE TO ACT DONATE TO NDOA-PAC! Is Your Name Listed As A Supporter for Optometry If Not, Please Contribute At Some Level. UNITED WE ALL STAND! 21% of the NDOA Members can and should not be expected to carry the “clout”! The North Dakota Optometric Association’s Political Action Committee needs the support of each and every NDOA member. WHY? Maintaining a strong presence in the legislative arena is becoming highly competitive. Optometry needs to be a player, when it comes to electing pro-optometry candidates, who make the laws that govern your practice and issues important to your patients. Which 2018 candidates may be asking for the financial support from the optometric profession? 23 districts statewide, just to name a few! Optometry has fortunately accomplished many legislative goals in the past. These successes have enhanced your scope of prac- tice, increased the levels of reimbursement, and recognized optometrists as primary eye care providers. We hope you will feel the professional obligation to join your colleagues, by stepping forward with a generous contribution to keep NDOA-PAC amongst the state’s leaders supporting healthcare advocates and issues.

Gold Level Silver Level Bronze Level $199.00 or Less $365.00 or More $364.00-$200.00

Dr. Dori Carlson Dr. Blaine Burdick Dr. Mark Andre

Dr. Mitch Fearing Dr. Amy DuBois Dr. Stacey Archibald Dr. Darin Johnson Dr. Paul Dunderland Dr. Brianna Bohn Dr. Tamara Mathison Dr. Mark Emmerich Dr. Krista Heil Dr. Todd Metzger Dr. George Gero Dr. Leslie Hellebush

Dr. Taya Patzman Dr. Mark Helgeson Dr. James Helmers

Dr. Michael Rexine Dr. John Helmers Dr. Kyle Krein Dr. Jason Schaff Dr. Mike Houle Dr. Kristen Kosir

Dr. Nate Shilman Dr. Steve Looysen Dr. Shila Lampl Dr. Larry Motacek Dr. Corey Mairs Dr. Marty Mrachek Dr. Mark Moen Dr. Bob Nyre Dr. Marty Mrachek

Dr. Brittany Schauer Dr. Lori Scheel Dr. Jeff Yunker Dr. Keith Schindler

Name: ______Home or Cell Number:______

Address: ______City/State/Zip: ______

DONATION/PLEDGE:  $365.00  $200.00  $100.00  Other $______

Personal check or Personal Credit Card Only:

 Visa  Mastercard  AMEX Expiration Date: ______CVV Code______Authorized Amount $______

Northern Sights August 10