Poster

Ohio Chapter, American Academy of Pediatrics
2012 Annual Meeting
Poster Submission Form

Thank you for your submission, you will be notified by July 20, 2012.

Ohio AAP contact for all questions: Elizabeth Dawson, 614-846-6258 or edawson@ohioaap.org

Question Title

* 1. Please enter your contact information.

Name:

E-mail:

Address:

Practice/Hospital Name:

Phone:

Fax:

Question Title

* 2. Poster Name:

Question Title

* 3. In this space provided below, please provide poster/program description that includes an overview of implementation and any outcomes of this effort (please limit your response to 300 words).