2025 Annual Meeting Speaker Form | New York Chapter of the American College of Physicians

Please complete fields below to assist with the speaker arrangements for the NYACP Annual Meeting.

First Name *

Last Name *

Credentials

Please advise on arrival and departure dates

Institution/Practice

City

State

Zip

Email Address *

Phone Number

Please upload Presentation Topic and PPT

Link to Headshot

Please upload biosketch for website.

Please list the learning objectives or discussion points you would like to present at the Chapter Event:

Please advise AV requirements (note a laptop, projector and mic will be available onsite)

I give the NYACP permission to reproduce handout materials for my presentation.

Please submit one question to be submitted to ACP for the MOC Survey following the meeting. This can be true/false or multiple choice. Please include citations.

Your form submission WILL be encrypted using SSL to ensure your privacy.

Contact Us

PO Box 38237 | Albany, NY 12203
518.427.0366
info@nyacp.org

Connect With Us

This site uses cookies to recognize members so as to provide the benefits of membership. We may also use cookies to understand in general how people use and visit this site. Please indicate your acceptance to the right.