Society for Pediatric Dermatology

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Case Submission

Please have all materials (such as photos and Word documents) prepared before continuing with this form. You will upload photos and documents in the second step. Please note that there is a 2MB file size limit on the files you upload. If your images are larger than 2MB in file size, you will need to resize them to a smaller file size before continuing. Click here for information about some free software you can use.

You will have a chance to review your submission before finalizing your submission in the third step. If you need additional assistance with the case submission system, you can contact SPD at spd@hp-assoc.com.

STEP 1:

Submission Type:

I would like to have my poster considered for the Junior Faculty/Fellow Forum.
I would like to have my poster considered for a travel award.
I would like to have my poster considered for a presentation during the Research Forum on Thursday, July 12, 2012.
The primary investigator for the poster is Junior Faculty or a Fellow.
The primary investigator is not Junior Faculty or a Fellow, but there is another investigator from the poster which is Junior Faculty or a Fellow.

Please provide their name and and email address.
Name:
Email:

I would like to have my case considered for a travel award.

Author Full Name and Credentials: Affiliation:

Mailing Address:

City:

State:

Zip:

Phone:

Fax:

Email Address:

Please use upper and lower case letters.

Title of Presentation:

Case Summary:

Limit 2700 characters.

References:

Please note: If your case is chosen for meeting, the summary and references will be kept one page for the program book. The references will be reduced if necessary.

Keywords: (separate keywords with commas)

You will be able to upload case documents and images on the next page.