Speaker Form

Thank you for agreeing to speak at the 6th Annual Jason French Pediatric Hospital Medicine Symposium in Aurora, CO on October 9, 2026. Please complete the following form.
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See examples below (name, credentials, academic title/employer, clinical title/employer)

EXAMPLES
Note: The highest degree comes after the name, then licensure and any professional designations.

Kay Kinzie, MSN, RN, FNP-BC
Clinical Manager
Children’s Hospital 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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Please provide a brief bio in third person to be used as your introduction