Poster Abstract Submission Form

  • Accepted posters will be highlighted in the 2019 Compassion in Action Healthcare Conference program that will be available to all conference attendees. The program will be accessible to all attendees in printed and electronic versions. Posters and authors will also be highlighted in any learning and diffusion materials developed following the conference to the broader public. Please complete by July 1, 2019.
  • Poster Information

  • (please provide information as you would like it to appear publicly)
  • (i.e. at the conclusion of this presentation, participants will be able to…)
  • Contact Information

  • First NameLast NameSuffixOrganizationEmail Address 
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  • Poster Consent and Release

  • For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I hereby give my consent to the Schwartz Center for Compassionate Healthcare (“Schwartz Center”) and/or its agent(s) to publish my poster presentation and abstract (the abstract and presentation to be collectively referred to as the “Materials”) for the 2019 Compassion in Action Healthcare Conference to be held in Boston, MA in September 8-10, 2019 (“Conference”) on the following basis:
    1. I grant to the Schwartz Center the unlimited, perpetual right to reproduce, display and distribute the Materials for purposes consistent with the Conference and the Schwartz Center’s mission, as the Schwartz Center may decide in its sole discretion, in all media, including print, on the Conference and/or Schwartz Center web site, print and Web streaming. This includes the Schwartz Center or its agents posting or arranging for the posting of the Materials on the Internet for potential worldwide distribution and viewing.
    2. I authorize the editing and reproduction of the Materials as well as the use of my name and professional background information provided by me in connection therewith.
    3. I waive any rights to inspect or approve the Materials, including any matter that may be incorporated in the edited Materials by the Schwartz Center or its agents. I release the Schwartz Center and its trustees, employees and its agents from all claims relating to the use, transmission or display of the Materials for the purposes described herein.
    4. The Schwartz Center retains all ownership in the media (e.g., Schwartz Center web site, Conference Program, etc.) in which the Materials are published, including copyright, but the Schwartz Center does not obtain any copyright interest in the Materials authored or created by me for which I retain copyright. The Schwartz Center’s publication of the Materials does not imply endorsement by the Schwartz Center of my products or services or of the views expressed in the Materials.
    5. I represent that I am of legal age to provide this consent and that no other person need provide authorization as contemplated in this consent.