Thank you for your interest in submitting an abstract for consideration at the 2023 ASKP3 Conference on December 8-9, 2023, in Austin, TX.
 
The ASKP3 Annual Conference is designed to provide a variety of educational topics that will advance the safe and ethical use of ketamine to treat mental health disorders and pain conditions across the nation.
 
In order to be considered, please complete your submission no later than Friday, June 16, 2023.
 
Submissions will only be reviewed if all required components are submitted before the submission close date.

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* 1. Full Name (include designations)

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* 2. Organization Name

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* 3. Title

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* 4. Email

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* 5. Phone 

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* 6. Target Audience

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* 7. Type of Presentation

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* 8. Presentation Title (100 character limit)

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* 9. Brief description (100 word limit)

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* 10. Link to publication (if data is published)

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* 11. Learning Objectives (3 minimum)

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* 12. Abstract Summary (500 word limit)

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* 13. Presenter CV/Resume

PDF, DOC, DOCX file types only.
Choose File

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* 14. Presenter Headshot

PNG, JPG, JPEG file types only.
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* 15. Presenter Bio in paragraph format (150 word limit)

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* 16. Do you have co-presenters?

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* 17. Additional Presenter(s) names and credentials

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* 18. Add your co-presenter(s) bio(s)

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* 19. Add your co-presenter(s) CV/Resume(s)

PDF, DOC, DOCX file types only.
Choose File

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* 20. Add your co-presenter(s) Headshot(s)

PNG, JPG, JPEG file types only.
Choose File

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* 21. Add your co-presenter(s) Bio(s) in paragraph format (150 word limit)

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* 22. Add your co-presenter(s) contact info (email and phone)

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* 23. Have you presented this session previously?  If yes, when, where, and for whom?

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* 24. Have you presented for ASKP3 before?

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* 25. Please list any outstanding questions or concerns that might affect your engagement at this conference. 

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