NCAFPM Conference Abstract Submittal Form

Today’s date: Click or tap to enter a date.

Please select one session format:

Traditional Educational Session	Propose a 30-minute presentation of any of the suggested topic areas. This 30-minute time slot will include speaker introduction(s), presentation, and 5 minutes of Q&A. Three 30-minute presentations will be combined into 90-minute concurrent session blocks.
Brief abstract of your presentation	Click or tap here to enter text.
Name of presenter(s). Please list the complete name with credentials for each presenter. This is how the names will appear on the program.	Click or tap here to enter text.
Brief biography of each presenter. Please type all presenter Bio’s in this area separated by hard return.	Click or tap here to enter text.
The following information should be for the “Lead Presenter” as the main contact.
Affiliation	Click or tap here to enter text.
Address	Click or tap here to enter text.
Telephone number	Click or tap here to enter text.
E-mail address	Click or tap here to enter text.

Please be sure to provide complete information on each area. Incomplete submissions will be returned. Save the document as a .docx file format to preserve the template for future use. Please email the completed document to the abstracts@ncafpm.org