2026 ATNS Conference Speaker Application
Thank you for your interest in presenting at the 2026 ATNS Annual Conference, October 15-17 in Dallas, Texas. This application will help us assess how your work aligns with ATNS’s mission to advance education, research, and clinical practice related to neuroplastic symptoms. Only one Speaker Application is required per presentation. Submissions close February 27th.
Speaker Information
Name
*
First Name
Last Name
State
Country
Professional Title
*
MD, Medical Doctor
Organization
Phone Number
*
Email
*
example@example.com
Website or Professional Profile
LinkedIn
linkedin.com/in/firstname-lastname
Instagram
instagram.com/yourusername
Facebook
Back
Next
Will you be the sole presenter for this session, or will a co-presenter join you?
*
Solo
Co-Presenter
Back
Next
Additional Speaker Information
This section is for the co-presenter
Name
*
First Name
Last Name
State
Country
Professional Title
*
MD, Medical Doctor
Organization
Phone Number
*
Email
*
example@example.com
Website or Professional Profile
LinkedIn
linkedin.com/in/firstname-lastname
Instagram
instagram.com/yourusername
Facebook
Back
Next
Proposed Session Topic & Details
Session Format
*
Lecture
Experiential or interactive
A combination of both
Proposed Session Title
*
This can be a working title
Primary topic or area of focus (up to 100 words)
*
Session Description
Please provide a concise description of your proposed talk (up to 500 words). This description may be used for conference materials if your session is accepted. This can be modified later if your session is confirmed.
*
Learning Objectives
Please list 3-5 primary learning objectives for your session in bullet point format. For example, “At the conclusion of this session, attendees will be able to…”
*
Back
Next
Conference Fit
Why do you believe this session is a strong fit for the ATNS Conference and its audience?
*
Please describe your experience and expertise related to this topic, including why you are well-suited to present this session.
*
Anything else you need us to know?
Submit
Should be Empty: