Speakers Info

EmpowerX Conference

Name

Do you accept our invitation to speak at the EmpoweRx Conference

Yes No

Title

Topic

Up-to-date Curriculum Vitae

Photo

Select the statement that best describe any financial disclosures

If yes selected in the prior question, select the affiliation/ financial interest that is the most appropriate.

If yes selected in the question 2, select the corporate organization of your affiliation/ financial interest below

12/24/21: Speakers Info Due

1/10/21: Objectives Due

1/21/21: Three Learning Comprehension Questions Due

2/11/21: Completed Slides Due

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