Apply to Speak or Present

at the 2025 AvaSure Symposium

Share your expertise. Shape the future of virtual care.

Speaker Information

Name*

Job Title*

Organization/Health System*

Email*

Phone Number*

LinkedIn Profile (if applicable)

Are you an AvaSure Customer*

Yes
No
Not Sure

Speaking Format

What type of speaking role(s) are you interested in? (select all that apply)*

Session Speaker
Panel Discussion
Case Study Spotlight
Roundtable Leader
Poster Presenter

If other, please specify

Which topics/sessions are you most passionate about sharing or discussing? (select all that apply)*

Advancing virtual care & virtual nursing
Patient safety & staff support
AI & automation in healthcare
Centralized monitoring & operations
Workforce optimization & staffing strategies
Innovations in technology & system integration
Improving patient outcomes & fall prevention

If other, please specify

Session title (if applicable)

Session description*

Do you have data or outcomes you would like to share?*

Upload presentation or data (if applicable)

Browse

Will you be co-presenting?*

If yes, please list the additional speaker(s), organization, title and email.

Would you be open to recording a short pre-event promo video?*

Yes
No
Maybe

Do you require any specific accommodations to participate? Example: travel funding, etc.*

Terms & Conditions*

TERMS & CONDITIONS
By submitting this form, you confirm that your presentation is original, educational in nature, and does not serve as a direct sales pitch.

I have read and agree to the terms above.

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