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Call for Presentations

NAMIHP welcomes presentation proposals for its events. Select the event you are applying for, or select General Submission to be considered for any NAMIHP event.

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Event *

Select the event for this presentation or select General Submission to be considered for any NAMIHP event.

Presentation Details

Title of Presentation *

Session Type Preference *

Preconference Session or Workshop (2-4 hours)
Regular Session (40-50 min)
Mini Session (30 min or less)
Special Session (Panel Event, Keynote, or Other)
Any of above

Tracks *

Rural Health Transformation and Access to Care
MIH Clinical Topics/Disease Management
Leadership or Workforce Development
Special Populations or Vulnerable Populations
Technology Advancements (Data, AI, System Integration, others)
Co-Response Programs
Mental Health or Substance Use Disorders
Payor-Provider Partnerships & Joint Presentations
Multidisciplinary Care Models (Mid-Level Providers, others)
Program Development or Expansion
Other

Select up to two tracks.

Other Track *

Agency, Organization, or MIH Program Being Represented *

Learning Objective 1 *

Learning Objective 2 *

Learning Objective 3

Abstract and Description of the Presentation *

Reference Citations *

CAPCE education requirements require at least 3 reference citations for every presentation.

Have you given this presentation in the last 12 months or do you plan to present it elsewhere in the next 12 months? *

Yes
No

Event and Date and Details of the Other Presentation *

Do any actual, potential or perceived Conflict of Interest(s) exist which may be relevant for yourself, spouse/partner, or any immediate family member? *

Yes
No

Explain the Conflict of Interest *

Presenter Information

Presenter 1 Name *

First

Last

Presenter 1 Post Nominals

As the post nominals should appear on the event badge

Presenter 1 Email *

Presenter 1 Phone *

Presenter 1 Job Title *

Presenter 1 Company or Organization *

Presenter 1 Brief Biography *

Presenter 1 High Resolution Headshot *

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Will anyone present with you? *

No
Yes, one co-presenter
Yes, two co-presenters

Presenter 2 Name *

First

Last

Presenter 2 Post Nominals

As the post nominals should appear on the event badge

Presenter 2 Email *

Presenter 2 Phone *

Presenter 2 Job Title *

Presenter 2 Company or Organization *

Presenter 2 Brief Biography *

Presenter 2 High Resolution Headshot *

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Presenter 3 Name *

First

Last

Presenter 3 Post Nominals

As the post nominals should appear on the event badge

Presenter 3 Email *

Presenter 3 Phone *

Presenter 3 Job Title *

Presenter 3 Company or Organization *

Presenter 3 Brief Biography *

Presenter 3 High Resolution Headshot *

Drag & Drop Files, Choose Files to Upload

Attestation *

I agree that if any actual or perceived Conflict of Interest(s) which may be relevant to this presentation exist, that I will provide a Disclosure Statement for NAMIHP and event audiences.

NAMIHP Contact Information

Address

NAMIHP
8735 Dunwoody Place, Suite 8220, Atlanta, GA 30350

Email

office@namihp.org

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