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SUBMISSION SYMPOSIUM FORM
Name of primary organizer:
Organizer mail:
Organizer phone:
Organizer institution:
Title of symposium:
Topic Area:
Cultural influences on pain
Documentation, coding and billing for pain Interventions or care
Gender and sexual influences on pain
Innovative treatments for pain
Integrative health and care modalities
Integrative health therapies for pain
Myofascial pelvic pain or dysfunction
Neuropathies and neuralgias
Novel pain treatments, neuromodulation, photobiomodulation, electrostimulation
Pain treatments and/or interventions
Physical therapy and rehabilitation modalities
Psychosocial pain mechanisms
Resilience
Sexual dysfunction
Transgender health
Visceral pain syndromes (e.g. IC, IBS, Endometriosis, dysmenorrhea)
Vulvar / Vaginal pain syndromes
SPEAKER 1 INFORMATION
Name:
Institution:
Title:
Phone:
Mail:
Presentation name:
Materials:
SPEAKER 2 INFORMATION
Name:
Institution:
Title:
Phone:
Mail:
Presentation name:
Materials:
SPEAKER 3 INFORMATION
Name:
Institution:
Title:
Phone:
Mail:
Presentation name:
Materials:
Overall in-depth description of the entire symposium
Brief description of all components / sessions of the symposium:
Describe all materials (including printed materials) that need to be disseminated to attendees:
Educational objectives for the entire activity:
Objective 1
Objective 2
Objective 3
CV Speaker 1
CV Speaker 2
CV Speaker 3
Letters of support (the two letters in a single file)
No file(s) selected
SUBMIT