AMIA Online Programming Request Form

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If something important was not covered in a session or there is a timely topic you want AMIA to consider offering a webinar on let our Continuing Education Advisory (CEA) Task Force know!

First and last name of referral (a.k.a. person filling out this form). If you are part of an AMIA Committee or Task Force please include that as well.

Email (for follow-up, clarification or questions)

Topic for Consideration *

Has this topic been presented before? If so by who and where?

Are there people you would recommend AMIA or the CEA Task Force reach out to who should be involved in programming this content?

Submit

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