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nei scientific poster session
abstract submission form
Submit your abstract by August 15, 2019!

* = required
Poster Category

Contact Information
All communications will be sent to the email provided.

Name* 


Work Phone* 


Cell Phone


Email* (required for confirmation) 
 
Presenters Information

Presenters Full Name & Credentials* (if more than one presenter, separate names by semicolons) 
Publication

Do not publish my abstract in CNS Spectrums
Abstract Type

ABSTRACT INFORMATION

Title of Poster* (150 character maximum) 


Authors
Must include full name, credentials & affiliation for each author* (if more than one presenter add a space to separate names)
Example: John Doe, MD: Title, Department, Institution, City, State
 


Abstract* (3,000 character maximum)   
Abstracts of presented posters will be submitted for publication to CNS Spectrums—an indexed, peer-reviewed scholarly journal. Abstracts with extensive copy editing errors will not be eligible for publication, given the integrity of the journal and the Neuroscience Education Institute.
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Funding Acknowledgements*
All sources of funding must be acknowledged. If the study was not funded, type “no funding.”

Agreement 
As the Presenting Author, please indicate your understanding of and willingness to comply with each statement below.
I certify that the information I have provided is true and complete to the best of my knowledge. I understand that relevant financial relationships with any commercial company whose products I may discuss in my education activity must be disclosed prior to, and will be listed in materials for the activity.
Attestation Form
As the Presenting Author, please indicate your understanding of and willingness to comply with each statement below.
Agree Disagree
I verify that prior to the education activity I have requested and/or obtained permission from copyright holder(s) to reproduce/copy, from their work, the portions of my education activity that are protected by copyright laws. I acknowledge that the Neuroscience Education Institute will not be held legally responsible for any misrepresentation on my part regarding copyright infringement.
If presenting specific patient cases or case histories, I warrant that I have HIPAA compliant authorization for any PHI (Protected Health Information) in the education activity materials or have de-identified all materials.
I understand that the Neuroscience Education Institute or its designees may need to review my presentation and/or content prior to the activity, and I will provide educational content and resources in advance as requested.
By submitting the abstract and PDF poster copy the authors consent to have the information published online at nei.global.
 
* I have carefully read and considered each item in all forms and have completed them to the best of my ability. I attest that the completed information is accurate. Please accept this as my signature.
If you do not receive the Confirmation Page after submitting, a required field was not completed and your abstract was NOT submitted. Continue to complete the form and click Submit again.

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