National Cooperative of Health Networks: Serving Health Networks since 1995

Call for Proposals
Name of Primary Presenter *
Title *
Organization/Company Name *
Presenter's email address: *
Presenter's phone number: *

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Mailing Address *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Name, Title, and Organization of Additional Presenter/s (one per line, if applicable)
Title of Presentation *
Type of Presentation *
 Plenary 
 Concurrent 
 Panel 
Targeted Network Type
 Horizontal 
 Integrated 
 General Network Topic 
Please give a brief description of the presentation, including 3-5 learning objectives (what the attendees will take away from the session). If selected, this description will be used to promote the conference and as the session presentation description. *
Optional: Upload a long description or sample content (doc, pdf, or ppt)
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