Speaker Abstract Submission Form

To be considered as a potential presenter at a VCICI conference, please fill out the form as thoroughly as possible and email your CV to support@VCICI.org

If you are accepted, you will be notified and any additional information that is needed along with a presenter’s agreement, the signing of which is required for all presenters at VCICI conferences.
If you are not scheduled for the current upcoming conference, your information will go on file for consideration as a presenter at a future conference.
All submissions are reviewed by the Program Committee.
Please be advised that if you are accepted, VCICI needs your lecture notes 60 days in advance of the scheduled conference.

Contact Information:

Full Mailing Address:

Affiliated Business/Company/Institution Name (if applicable):

How did you hear about VCICI?

Area of Expertise (check all that apply):

Clinical Research Academic Other:

If "other" was selected please specify:

Field:

Human Medicine Biological Dentistry Veterinary Medicine Other:

If "other" was selected, please specify:

Presentation Information:

Title of Presentation:

Subject of your presentation material:

Learning Objectives (at least 3):

The Material Being Presented is Based On:

If other was selected, please specify:

Have you published on your proposed topic in peer-adjudicated scientific journals?

Yes No

If yes, please list journal titles, dates, vol. #, etc. here:

Have you published in non-peer adjudicated journals, lay media, etc. on the topic or findings?

Yes No

If yes, please list titles, dates, publications, vol. #, etc.

Abstract Text (up to 150 words):

Provide a brief, current, biography here (up to 150 words:

Are you a current or former faculty member of a college, university, or other teaching institution?

Yes No

If yes, please list name(s) of the institution(s) and your position(s) here:

Have you presented on this or related topics at other medical, dental, or other scientific conferences?

Yes No

If yes, please list conferences and the year you presented here:

If your presentations were recorded and are available for viewing (YouTube, Vimeo, Muvi, or Dacast), please provide those links here:

Do you have any commercial interests/business connected with the subject matter in your presentation?

Yes No

The mission of VCICI is to advance evidence-based and science backed, comprehensive, integrative healthcare treatments to improve and optimize the body’s immune systems.

Speaker Abstract Submission Form

Contact Information:

Social Media:

How did you hear about VCICI?

Area of Expertise (check all that apply):

Field:

Presentation Information:

Learning Objectives (at least 3):

The Material Being Presented is Based On:

Have you published on your proposed topic in peer-adjudicated scientific journals?

Have you published in non-peer adjudicated journals, lay media, etc. on the topic or findings?

Abstract Text (up to 150 words):

Provide a brief, current, biography here (up to 150 words:

Are you a current or former faculty member of a college, university, or other teaching institution?

Have you presented on this or related topics at other medical, dental, or other scientific conferences?

If your presentations were recorded and are available for viewing (YouTube, Vimeo, Muvi, or Dacast), please provide those links here:

Do you have any commercial interests/business connected with the subject matter in your presentation?

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