As an organization, the AC Forum is working to increase awareness and promote diversity in our leadership, membership, and programming. As part of this initiative, AC Forum is pleased to offer scholarships to our National Conference to support the ongoing education of clinicians from underrepresented racial and ethnic groups.

Scholarships will be awarded to candidates who best illustrate the desire to further their professional knowledge in the field of antithrombotic therapy.

Additional Information

  • If applying for a scholarship, please do not register for the event until after the award notification date. Notification of awards will be given prior to the deadline for early registration.
  • Prior scholarship winners will be considered only after all other applicants.
  • Applicants may apply for both the Conference Scholarship and the Abstract Research Scholarship, however, they will only be selected for one award.
  • Incomplete applications will not be considered.
  • We encourage you to promote the program through social media outlets prior to and during the event, as well as share the information learned with colleagues at your institution.


The Anticoagulation Forum National Conference is a 3-day meeting that offers attendees the unique opportunity to meet colleagues from around the world with wide-ranging research interests and expertise in the diagnosis and treatment of thrombotic disorders. Special lectures focusing on recent advances and important issues in anticoagulation therapy are featured, as well as exhibitors and poster presentations of original research.  

Applicants must be clinicians from underrepresented racial and ethnic groups within the field of antithrombotic therapy

Scholarship Award:
  • Complementary registration to National Conference (minimum $345 value)
  • Travel stipend of $1500 to cover transportation and lodging (lodging arrangements must be made at the conference hotel)*
*Individuals must attend the conference in-person to receive the travel stipend

The Anticoagulation Form 16th National Conference will take place in San Francisco, CA on October 28th-30th, 2021.


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* 1. Contact Information:

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* 2. Address:

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* 3. Race/Ethnicity:
Which categories best describes you?

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* 4. Description of Professional Responsibilities (number of patients, clinical setting, etc.)

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* 5. Personal Statement:
In 300 words or less, please explain why you want to attend the AC Forum National Conference and describe what you would take away from the experience.

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