2024 ASIPP Annual Meeting Call for Abstracts

Abstract Poster Presentation Proposal

Submission Form

ASIPP® 26th ANNUAL MEETING
April 4-6, 2024 | Dallas, TX

Hyatt Regency | 300 Reunion Blvd, Dallas, TX 75207

Submission Deadline: January, 22, 2024

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Category*

Resident/FellowMedical StudentPhysician

Poster Presentation Title*

(60 character maximum, including spaces)

Author and Presenter Information

First Author*

Include credentials such as MD, DO, PhD, etc.

First Author Affiliations*

First Author Mobile Telephone:*

First Author Email*

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Second Author

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Second Author Affiliations

Second Author Mobile Telephone:

Second Author Email

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Third Author

Include credentials such as MD, DO, PhD, etc.

Third Author Affiliations

Third Author Mobile Telephone:

Third Author Email

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Additional Co-authors (List Names, Credentials, Affiliations, Mobile Phone and Emails for Each Person)

Presenter Name*

Include credentials such as MD, DO, PhD, etc.

Presenter E-mail*

example@example.com

Presenter Mobile Telephone:*

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I have read and agree to the Poster Presentation Guidelines*

NameDate

ABSTRACT INFORMATION

Background*

Case Presentation

Objective*

Methods*

Results*

Conclusions*

Disclosure*

References*

Encore Presentation*

Encore Presentation

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Abstract Submission Fee*

Abstract Submission Fee$50.00

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