ACMS Repair Video Library Submissions

Thank You For Submitting Your Video

Dear ACMS Member,

Thank you for being willing to submit a video to the College's online Repair Video Library. Please complete the brief form below to submit your content.

As you prepare to submit a video, I encourage you to watch this video which shares video creation guidelines and standards.

Sincerely,

Nicole M. Annest, MD, MS, FACMS
CME & Education Committee, Chair

Seaver Soon, MD, FACMS
CME & Education Committee, Vice Chair

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* 1. Please confirm how you would like your name and designation to appear for your credit in the video library.

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* 2. Please share your current affiliation.

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* 3. By checking the box below, I attest that the patient/s gave their permission to be published online. I attest that I am authorized to grant the ACMS full rights to use and share the photography/video filming, and any reproductions. This might include (but is not limited to) the right to use them in their printed and online publications and resources, social media, press releases and/or funding applications. I also understand that this video will be made available to members of the College for educational purposes.

I attest that the above is true and I have patient permission as described.

Electronic signature (please type your name)

To submit your video, please click this link and upload your video. Then, return to this form and click "submit."