Call for Presentation Proposals – National Clinicians Conference on Medical Aid in Dying

Revolution Hall, Portland

First, please view and/or download this Call for Presentation Proposals document.

Date
MM slash DD slash YYYY
Last Name*
First Name*
Email*
State*
Clinical degree (if applicable)
Organization (if applicable)
Position (if applicable)
If you are only suggesting a topic not already on our list, please state the topic here. If you are a presenter proposing a full presentation, please use the rest of the form below.
Potential title of your presentation topic*
Please describe your presentation proposal. Be as complete as possible, including topic, format (individual, panel, case history, all relevant details)*
Brief bio of the presenter*