EMpulse Magazine Intent to Submit Form
Interested in writing an article for FCEP's publication, EMpulse Magazine? Please fill out the form below. The managing editor will follow up and confirm inclusion.
Email
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example@example.com
Your Name
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First Name
Last Name
FCEP or ACEP Member?
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FCEP Member
ACEP Member
Non-member
**All healthcare and emergency medical professionals are invited to contribute!
ACEP Member?
*
Yes
No
All healthcare and emergency medical professionals are invited to contribute!
Type of Article:
*
General Feature (up to 1,000 words)
Case Report (flexible; please include appropriate sections)
Opinion/Perspective (400-600 words)
If unsure, choose General Feature
Do you plan on sending in photos or images?
*
Yes
No
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If you do not have accompanying images, we will find or create one for your article.
Use this box to include special design requests or additional comments:
More about you...
What should your byline look like?
Full Credentials (i.e. MD, FACEP)
Primary Title or Position (i.e. Pediatric Emergency Physician, etc.)
Company/Institutional Affiliation
Additional FCEP/ACEP-related title, if applicable (i.e. Former Board Member, etc.)
Have you contributed to EMpulse before?
Yes
No
Upload your headshot here:
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