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

Planning Committee Form

Thank you for agreeing to participate as a planning committee for the Foothills RETAC Pediatric Mini-Conference, September 27 and 28, 2023. 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
*