Call for Presentations - OHIMA Annual Meeting

Please complete the following information.

You will be contacted no later than December 1st of the programming committee's decision of whether or not your session proposal is accepted. Thank you!


*1. Name




2. Credentials




*3. Will you be the only presenter? (If not, please submit separate application for each presenter).

 Yes
 No


*4. Facility/Organization Name




*5. Mailing Street Address




*6. City




*7. State




*8. Zip




*9. Work Phone




10. Home Phone




11. Fax




*12. E-Mail Address




*13. Presentation Title




*14. Session Description: In 100 words or less, please clearly describe the content of your presentation. This description will be used to help determine if your presentation is selected and may be used in convention promotions.




15. If you are a non-OHIMA member, please indicate any expenses requested associated with your proposed speaking engagement such as honorarium, travel, lodging, etc. NOTES: 1) OHIMA member speakers receive free meeting registration in exchange for speaking; 2) If representing an HIM company, you must be an exhibitor to be considered for a speaking slot.




16. Please indicate any references that you can provide of someone who has heard your presentation (name and phone/email):




17. Comments:



   


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