Friday, March 16, 2018
Call for Presentations

Application Deadline: Wednesday, January 31, 2018

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* 1. Primary Contact for Entry

Prefix:

First Name:

Last Name:

Suffix:

Credentials:

Title/Position:

Your Role in OCM Implementation:

Email Address:

Phone Number:

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* 2. Organization Name:

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* 3. Address:

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* 4. City, State, Zip:

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* 5. Presentation Title:

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* 6. Summary of your OCM success or innovation (750 words or less). This could be a best practice, a new role, a new workflow, a process improvement, etc. - anything other OCM practices may want to hear about and could potentially replicate. We also encourage this description to include a take-home strategy (e.g., a template, tool, or workflow) that you would be willing to share with other OCM practice participants at the workshop.

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* 7. Identify your presentation objectives and top three takeaways for attendees.

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* 8. Please provide the name, credentials, and a one-paragraph biography for the individual who would present and their role in OCM implementation.

Terms of Agreement

By submitting this form, you agree to meet all posted dates and deadlines.

Completed entry forms may be submitted via this form or emailed to ACCC via bburnett@accc-cancer.org

Thank you for your entry. You will be notified by February 7, 2018, on the status of your submission. If you have any questions, please contact Blair Burnett at bburnett@accc-cancer.org or call 301-984-9496 ext.213.

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