2017_Cambodia National Rehabilitation Conference_Participant Presentation_Abstract Submission Form
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Email address
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Your email
Form Description
This form is to be completed if you wish to submit an abstract for Oral Presentation in the Cambodian National Rehabilitation Conference, presented by the HCVI Medical Library on November 15, 2017, from 8:00 AM to 5:00 PM.
Details regarding the submission process can be found in the page "Abstract Submission", on the designated Google Site by following the link below:
NationalRehabConference.hcvi.org
Thank you,
Warm Regards,
Frank Duggan, MD
Email:
frankduggan@hcvi.org
Mobile: 010 250 282
Raphael Freitas, OT
Email:
raphaelfreitas@hcvi.org
Mobile: 086 787 530
Last Name
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Your answer
First Name
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Your answer
Presenter Title
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Physical Therapist
Occupational Therapist
Speech and Language Pathologist
Psychologist
Psychiatrist
Educator
Social Worker
Physician
Nurse
Midwife
Public Health Professional
Student
Other:
Presenter Secondary Title
If you have a title in addition to your Primary Title, please choose one of the options below.
Physical Therapist
Occupational Therapist
Speech and Language Pathologist
Psychologist
Psychiatrist
Educator
Social Worker
Physician
Nurse
Midwife
Public Health Professional
Student
Other:
Institution Affiliation
*
Choose
AAD (Angkor Association for the Disabled)
AAR-WCD (Association for Aid & Relief, Wheelchair for Development)
ADD (Action on Disability & Development Cambodia)
AEC (All Ears Cambodia)
AHC (Angkor Hospital for Children)
AVID (Light of the world)
Bakan Disabled People's Organization
Banteay Pried Vocational Training Centre for the Disabled
BDPO (Battambang Disabled Persons Association)
CABDICO
Cambodia Spinal Cord Injury Association
Cambodia Trust (Exceed Cambodia)
Caritas Cambodia
CCAMH (Centre for Child and Adolescent Mental Health)
CCF (Cambodian Children's Fund)
CDMD (Cambodian Development Mission for Disability)
CDPO (Cambodian Disabled People's Organization)
CIF (Children in Families)
CPTA (Cambodian Physical Therapy Association)
CSC (Children Surgical Center)
CVCD (Cambodian Volunteers for Community Development)
DAC (Disability Action Council)
DDSP (Disability Development Services Program)
DPO (Disable People's Organization)
DYCFE (Disabled Youths, Children Foundation for Education)
Epic Arts
Essential Personnel Cambodia
GIZ (Deutsche Gesellschaft für Internationale Zusammenarbeit)
Grace House Community Centre Day Care Centre for Children with Disabilities
Hagar Cambodia (House of Smiles)
Handa Emergency Hospital
Happy Kids Clinic
HCVI (Health Care Volunteers International)
Help the Age
HHC (Hands of Hope Cambodia)
HI (Handicap International)
ICRC (International Committee of the Red Cross)
IMCI (Integrated Management of Childhood Illnesses)
Indigo International
JSC (Jesuit Service Cambodia – Metta Karuna)
Karuna Battambang
Khmer Association for Vocational Training and Vocation
KNKS (Kumar Ney Kdey Sangkheum - Children of Hope)
KPF (Komar Pikar Foundation)
Lavalla School (Marist Solidarity Cambodia)
LLFitness
LMDS (Landmine Disability Support)
METU (Mobile Educational Testing Unit)
MSC (Marist Solidarity Cambodia)
NCDP (National Centre for Disabled People)
NH (New Humanity)
NHS (New Horizon Society for Disabled People)
NMCHC (National Maternal Child Health Center)
NPH (National Pediatric Hospital)
OEC (Operation Enfants Du Cambodge)
OIC Cambodia
PACHID (Parents Association of Children with Intellectual Disabilities)
Physiotherapy Phnom Penh
PPCIL (Phnom Penh Centre for Independent Living)
PSE (Pour un Sourire d’Enfant)
Rabbit School
RCC (Rehab Craft Cambodia)
RCC (Reverse the Curse Cambodia)
RCRC (Rose Cambodia Rehabilitation Centre)
Rose Charity
Safe Haven Cambodia
SCN-CO (Save the Children Norway - Cambodia)
SIFA Organization
Speech Therapy Cambodia
SSC (Social Services of Cambodia)
TPO (Transcultural Psychosocial Organization)
TSMC (Technical School of Medical Care)
UHS (University of Health Science)
UNDP (United Nations Development Programme)
UNICEF
Union of Disabled Rehabilitation Kompong Ro
University of Paññasastra
University of Puthysastra
VIC (Veterans International Cambodia)
WHO (World Health Organization)
Women & Children with Disability Forum Kampong Cham
Women and Children with Disability Forum
YODIFEE (Youth with Disabilities Foundation for Education & Employment)
OTHER
If you selected "other" please indicate your organization on the box below
Your answer
Abstract Main Theme
*
Please, choose the theme of your presentation. If the specif theme is not listed below, choose the one closest to what your presentation is about.
Physical Therapy
Occupational Therapy
Speech and Language Pathology
Mental Health
Education
Social Work
Abstract Title
*
Your answer
Abstract Description
*
Please, write your abstract on the box below. There's no specific structure for the abstract submission and it should not be more than 300 words long.
Your answer
Comments or Questions
Your answer
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A copy of your responses will be emailed to the address you provided.
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