Interested in taking part in phME’s FORUM 13?

Use the form below to give us a few details about your proposed session, and we’ll contact you to discuss successful presentations.

Name

First Name

Last Name

Company/Org.

Position

Topic Theme

Title of proposed session

Does this session include a single speaker or multiple presenters (e.g., a panel discussion)?

What are four of the learning goals of this session?

Please include a 2-3 sentence bio for all presenters.

Attach a photo of the primary presenter UPLOAD

Attach a photo to promote the session, if desired UPLOAD