Speaker Form

 

Thank you for agreeing to participate in this year's Precision Medicine in Asthma and Eosinophilic Disorders event!

This event is being held at Children's Hospital Colorado on Monday, September 21, 2026.

 

 

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