Call for Posters Application

What event are you submitting information for?

Name *

First

Last

Credentials

Organization *

Is your organization a vendor to the Urgent Care industry? *

Role / Job Title

Email *

LinkedIn Profile Url

List your LinkedIn profile or other social media profile to help us get to know you.

What topical area does your content fall under?

Title of Poster *

List any additional contributors for your poster (names and email addresses).

List the names, email addresses.

Poster Abstract *

Abstract of the poster and project,

Learning Objectives *

List 1-5 items you expect a participant to learn after reviewing this poster.

How will this topic drive change? *

List 1-3 ways your topic will help leaders and/or providers drive change in their practice or in the Urgent Care industry. Be specific.

Additional Comments

List any additional comments you would like us to know about you and/or your proposed session.