Call for Abstracts | Palliative Manitoba

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Online Abstract Submission

Title of Presentation

Presenter Information - Primary Presenter

Name

Credentials

Institutional affiliation

Biography

75 word maximum - will be used to introduce the presenter at the conference

Phone

Presenter Information - Presenter #2

Name

Credentials

Institutional Affiliation

Biography

75 word maximum - will be used to introduce the presenter at the conference

Phone

Presenter Information - Presenter #3

Name

Credentials

Institutional Affiliation

Biography

75 word maximum - will be used to introduce the presenter at the conference

Phone

Presenter Information - Presenter #4

Name

Credentials

Institutional Affiliation

Biography

75 word maximum - will be used to introduce the presenter at the conference

Phone

Learning Objectives

Required for accreditation

Learning Objective #1

Learning Objective #2

Learning Objective #3

Description of Presentation

75 Word Descriptor for Brochure

300 Word Abstract

Target Audience

Health Care Professionals

Volunteers

Informal Caregiver

All of the Above

Other

Please Specify:

Financial Assistance Received?

Yes

If yes, please provide details...

Conflict of Interest?

Yes

If yes, please provide details...

Format:

60 minute Presentation

120 minute Workshop

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For security verification, please enter any random two digit number. For example: 71

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