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The Academy seeks recommendations for future presenters / presentations.

Proposed presenters/topics will be forwarded to the Annual Meeting Program Committee and/or Website Education Committee for consideration for up to three (3) years.

To submit your recommendations, please complete and submit the form below.

Recommended presenter name
Please select the preferred presentation model:
Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.
Images (.png, .gif, .jpg) - Documents (.doc, .xls, .ppt, .pdf) - Audio (.wav, .mp3, .mp4) - Video (.mpg, .mov, .wmv)
Please indicate the following affiliations:
Is the speaker in private practice?
Your name
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