1 Speaker Form 2 Financial Disclosure 3 List of Disclosures 4 Sign Off

Speaker Form
Thank you for agreeing to speak at the 44th Annual L. Joseph Butterfield Perinatal Conference, to be held on September 12, 2023. Please complete the following form.
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Examples
Kay Kinzie, MSN, RN, FNP-BC
Clinical Manager
Immunodeficiency Program
Children’s Hospital Colorado

Adam Rosenberg, MD
Professor of Pediatrics
University of Colorado School of Medicine
Attending Neonatologist
Neonatal ICU and Special Care Clinic
Children’s Hospital Colorado
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