EHD Abstract Submission

Please ensure all information is correct to ensure accurate publication in the Congress programmes and literature.

Primary author and main contact for correspondence ( please provide full contact details )

Person's Title

First Name *

Last Name *

Job Title *

Department

Organisation *

Street *

City *

Postcode *

Country *

Email *

Mobile Country Code *

Mobile *

Bio *

Photo *

Please upload a high-resolution headshot of yourself (minimum 300px in width) and a maximum file size of 2MB

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Co-Authors/Presenters

Please provide details of co-authors here

	Title	First Name	Last Name	Job Title	Department	Organisation	Co-Auth Email	Mobile Country Code	Mobile Number	Country	Bio A short bio up to 200 words	Photo
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Title

First Name

Last Name

Job Title

Department

Organisation

Co-Auth Email

Mobile Country Code

Mobile Number

Country

Bio A short bio up to 200 words

Photo

Title

First Name

Last Name

Job Title

Department

Organisation

Co-Auth Email

Mobile Country Code

Mobile Number

Country

Bio A short bio up to 200 words

Photo

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Abstract general info (400 words)

Abstract title *

Abstract copy *

Learning Objectives

Learning objective 1 *

Learning Objective 2 *

Learning Objective 3 *

Congress themes (please indicate in order of preference three congress streams/themes you wish your abstract to be considered for.)

Theme 1 *

Theme 2 *

Theme 3 *

Presentation Type *

Knowledge Focus *

Conflict of Interest *

If any author(s) has a possible conflict of interest, please enter here or state none declared.

I confirm that all authors have approved this abstract. *

yes

I understand that if my abstract accepted in any format, then I am required to register in-person and pay the registration fee to participate, but that by ticking this box I am not contracted to make the registration payment if I decide not to participate. *

yes

I have read and agreed to follow the abstract guidelines. *

yes

I confirm that if accepted for an oral presentation that the material has not been presented in any other healthcare forum in the past 12 months. *

yes

Abstract Submission Form

EHD Abstract Submission

Primary author and main contact for correspondence ( please provide full contact details )

Co-Authors/Presenters

Abstract general info (400 words)

Learning Objectives

Congress themes (please indicate in order of preference three congress streams/themes you wish your abstract to be considered for.)

Conflict of Interest *

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