Forms

Invited Speaker

To retain a copy of your online form once completed, please print or save before submitting.

Conflict of Interest Declaration

Copyright / Patient Image Permission to Use Attestation

Slide Template for Conflict of Interest Declaration

Short biography, headshot, learning objectives, brief synopsis, takeaway message, as well as any other necessary documentation will be collected by Intertask Conferences

Key Dates

Per Invitation Letter

Conflict of interest declaration, a short biography (100 words), headshot (.jpg file format), and confirmation of presentation title (creativity encouraged) due

April 3

Learning objectives (3 minimum), a brief synopsis of presentation (2-3 sentences), and a takeaway message due

May 5

Attestation regarding use of copyright / patient images due