2025 Annual Meeting Speaker Form | New York Chapter of the American College of Physicians

Please complete fields below to assist with the speaker arrangements for the NYACP Annual Meeting.

First Name *

Last Name *

Credentials

Please advise on arrival and departure dates

Institution/Practice

City

State

Zip

Email Address *

Phone Number

Please upload Presentation Topic and PPT

Link to Headshot

Please upload biosketch for website.

Please advise AV requirements (note a laptop, projector and mic will be available onsite)

I give the NYACP permission to reproduce handout materials for my presentation.

Please submit one question to be submitted to ACP for the MOC Survey following the meeting. This can be true/false or multiple choice. Please include citations.

Your form submission WILL be encrypted using SSL to ensure your privacy.

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