2019 Connected Health Conference Speaker Nominations
Thank you for your interest in speaking at the 2019 Connected Health Conference. Please note that the entire CHC19 program is curated by a hand-selected Advisory Council of industry thought leaders but we welcome nominations of engaging speakers for the committee to consider for inclusion where applicable. If your submission is accepted into the program, you will be contacted by one of our program chairs by May 1, 2019.

Please note that due to the number of speakers at Connected Health Conference, we cannot provide speaking fees or cover travel expenses related to CHC19. Rest assured that we will review every submission carefully and assess the fit with the themes and topics we plan to cover in 2010.

By clicking the Submit button below, you accept these terms and conditions.

2019 Program Theme: Designing for Healthy Habits & Better Outcomes

DEADLINE TO SUBMIT YOUR NOMINATION: April 1, 2019

Prefix *
First Name *
Your answer
Last Name *
Your answer
Job Title *
Your answer
Job Level *
Organization *
Your answer
Company Type *
Email Address *
Your answer
Office Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State/Province/Region *
Your answer
Zip/Postal Code *
Your answer
Country *
Your answer
LinkedIn Profile
Your answer
Twitter Handle
Your answer
Biography *
Your answer
Proposed Presentation Title & Topic
Your answer
Proposed Presentation Description
Your answer
List links of previous speaker presentations (video only) that will give the advisory committee a look into your speaking style (optional)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service