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

Speaker Form

Thank you for agreeing to speak at the Caring for the Student with a Tracheostomy or Gastrostomy Tube in the School Setting on January 14, 2025. Please complete the following form.
*
*
*
*
 
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
*
*
*