Speaker Form

 

Thank you for agreeing to participate in this year's Abby Stoddard Lectureship in Child Neurology!

This event is being held at Children's Hospital Colorado on Thursday, September 10, 2026 and Friday, September 11, 2026.

Faculty are encouraged to arrive mid-day on Wednesday, September 9th to attend a dinner with the family that supports the lectureship. 

 

Please complete all requested fields to the fullest extent possible. In order for your submission to be saved, you must complete all sections of this form.

Please contact Jade Freeman-Martinez, CHCO CME Coordinator, at [email protected] if you have any questions or if you need to make a change to your completed 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

Please provide a brief bio in third person to be used as your introduction