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Designing the Future of Healthcare

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* 1. Before you begin, you will need the following information/documentation to complete your submission.

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* 2. First Name

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* 3. Last Name

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* 4. Email

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* 5. Organization

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* 6. Title

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* 7. Credentials

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* 8. Contact Information

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* 9. Title of Abstract

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* 10. Please provide at least 2 learning objectives for your abstract, beginning with: "Participants will..."

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* 11. Abstract Content Description (provide 1-2 sentence description congruent with overall learning goal and objectives.)

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* 12. Choose at least 2 of the Conference Learning Objectives that your abstract addresses

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* 13. Type of Presentation

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* 14. Please describe any relevant community partnerships that make your project work.

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* 15. Disclosure of Funding Sources

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* 16. Please add Abstract information (500 words- not counting headings)

Please download the Conflict of Interest Form: https://bit.ly/2EvGZ3T

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* 17. Conflict of Interest Form

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 18. Resume

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* 19. Number of presenters

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