fbpx

The New York American College of Emergency Physicians exists to support quality emergency medical care and to promote the interest of emergency physicians.

Send Request


Call for Abstracts

Complete the following form for each abstract submitted.
Abstract Title:(*)
Invalid Input

Author(s) and Title(s) (Author 1 Name, Title; Author 2 Name, Title; etc.):(*)
Invalid Input

Institution Affiliation (indicate affiliation for each author, if multiple affiliations exist):(*)
Invalid Input

Contact information
Contact person:(*)
Invalid Input

Mailing Institution:(*)
Please type your full name.

Department:(*)
Invalid Input

Title:(*)
Invalid Input

Street:(*)
Invalid Input

City:(*)
Invalid Input

State:(*)
Invalid Input

Zip:(*)
Invalid Input

E-mail address:(*)
Invalid email address.

Daytime telephone:(*)
Invalid Input

Telephone extension:
Invalid Input

Fax:
Invalid Input

If accepted, indicate who will present the abstract July 6:(*)
Invalid Input

Identification of resident if s/he will likely be first or second author on manuscript:(*)
Invalid Input

Preferred Format:(*)

Invalid Input

IRB approval or exemption:(*)
Invalid Input

Information regarding previous presentations or publication (or enter "None"):(*)
Invalid Input

Potential conficts by author (or enter "None"):(*)
Invalid Input

Attach Abstract(*)
Please attach abstract.