Presenting/Corresponding Author’s Name *

This should be the person completing this form.

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CONFIRMATION OF AVAILABILITY *

By checking this box, I confirm that I am available to give an oral presentation if selected and will be able to attend for the entire duration of the conference on August 2nd.

CONFLICT OF INTEREST DISCLOSURE *

No authors on this project have any conflicts of interest to disclose.

One or more authors on this project have a conflict of interest to disclose.

PERMISSIONS & ETHICS *

This abstract does not contain any patient identifiers.

If applicable for clinic studies or bench research, any research presented has received appropriate IRB approval.

CONFIRMATION & SIGNATURE

By checking this box, you are confirming that all information provided is accurate and you agree to the submission guidelines, including the $50 presentation fee if selected. You also agree to present virtually and adhere to the event schedule.

By typing your full name below, you confirm that this serves as your electronic signature and indicates your agreement to the terms outlined above. *

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Date *

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