* Denotes required information

This form will allow you to submit up to five session or topic ideas for Health Journalism 2020. If you have any questions, email jeff@healthjournalism.org

Due to volume, we cannot respond to all suggestions.

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1. Your name: (Required.)

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2. Your affiliation (if freelance, just note that): (Required.)

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3. Your phone number: (Required.)

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4. Your email: (Required.)

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5. Are you an AHCJ member? (Required.)

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6. Suggest a title or a topic for a session you are proposing for Health Journalism 2020 (please submit one idea at a time; you'll have a chance to add more): (Required.)

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7. Description for proposed session or idea (please be succinct; we can expand on this idea later): (Required.)

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8. Potential moderator (from AHCJ membership):

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9. Potential speakers:

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