CHUG Call for Presentation

Conference Information & Registration Proposal Submission Information

By completing the fields below, you will be able to submit your proposal electronically.
If you have any questions, please send an email to Dr. Manish Kohli or Kristin Betschart

When reviewing proposal submissions, the CHUG Board favors presentations presented by active users of GE Healthcare's Centricity Physician Office product. The goal of the CHUG, is to foster networking, sharing of ideas, and lessons learned from the Community. If you are a 3rd party supplier and are interested in being guaranteed a spot on the agenda, then please purchase a sponsor package that includes an educational session. There are a limited number of these packages available. Please note: information provided below may be included in the conference guide. Please make sure and enter accurate information.*

Presentation Title:
Presentation Description: (max. 200 words)
Educational Objectives: (list the 3 main objectives)
By the end of this presentation, participants will:
1.
2.
3.
Name, Professional Title and Institution of Presenters: (max. 3): Each accepted presentation will be allotted 2 discounted conference fees.
Presenter 1
First & Last Name:
Professional Title:
Institution of Presenter:
Telephone #
Email Address:
I am a:
Presenter 2
First & Last Name:
Professional Title:
Institution of Presenter:
Telephone #
Email Address:
I am a:
Presenter 3
First & Last Name:
Professional Title:
Institution of Presenter:
Telephone #
Email Address:
I am a:

For which track is your presentation intended? (Check all that apply)
	Small Practice (less then 10 providers/physicians)
	Medium Practice (11 - 50 providers/physicians)
	Large Practice (over 50 providers/physicians)
	All of the Above
Is this your first time presenting at a national meeting?	Yes or No

Conference presenters will receive a discounted conference registration fee or a
complimentary Conference Day Pass.

Deadline for Submissions: December 1, 2008

Please contact Dr. Manish Kohli or Kristin Betschart
with questions about presentation proposals.

Conference Information & Registration Proposal Submission Information