Live Case Session 2019: Request for Presentation General Information Question Title * 1. Name of Institution: Question Title * 2. Proposal Submitted by: Question Title * 3. Email Address: Question Title * 4. Phone: Question Title * 5. Have you hosted a live case presentation at your current institution in the past 24 months? Yes No Question Title * 6. Are you familiar with the Heart Rhythm Society's Statement on the Use of Live Case Demonstrations at Cardiology Meetings? Yes No Next