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Presenter Agreement Form


Presenter Agreement Form

Thank for you for agreeing to present a lecture at the TOMA/TxACOFP 10th Annual Joint Convention which will be held June 7-11, 2017 at Renaissance Worthington Hotel, Fort Worth, Texas

HOTEL ARRANGEMENTS: You will receive (1) night hotel lodging of a standard room at the conference group rate.  Any additional nights and food and room incidentals are the responsibility of the presenter.  Presenters are responsible for making their own reservations. The group rate is $189 plus tax. Please use this link to book your hotel room.  After you select your dates, click “Special Rates” then “Group Code” and enter TOMTOMA to receive our group rate. Room rate deadline is May 24, 2017.

Audio-Visual Equipment
Each session will have the following equipment: laptop, LCD projector package, laser pointer and wireless microphone. If your session requires additional audio visual equipment you must submit your request by email to no later than May 22nd.  Requests will be reviewed on a case by case basis.  If you are a MAC user, we ask that you bring your personal MAC laptop with needed accessories.


TOMA is accredited by the American Osteopathic Association as a category 1A CME provider. For program accreditation, we require pre-and post-test questions be included in all presentation slides and all presentations must be evidenced-based and free of commercial bias.


Pre and Post Test Questions*   place in presentation
Power Point Presentation – must be submitted electronically                  


Signed Disclosure Statement


*PRE & POST TEST QUESTIONS measure the knowledge gained from the presentation. An Audience Response System will be used by participants during the presentation. Please choose 3-5 questions to begin and end with. Test questions should be slides within your Power Point Presentation.


All presentations must be evidence-based and completely free of commercial bias (no logos, brand products etc...).


Your presentation will be reviewed by the planning committee and if it is determined to be commercially biased or include logos etc. it will be sent back to you for revision.


For handout purposes, all presentations, unless otherwise specified, will be posted to the conference website, accessible as a “read only file” to registered attendees. They will be deleted 90 day’s post-conference. There will not be paper handouts provided to attendees; if you wish to provide them you must prepare them and bring them to your session.

Thank you again for being part of our Convention. We value you and appreciate your contribution to our continuing education event.  If there are any questions or if you experience trouble uploading the required documents, please do not hesitate to contact Lisa Gallo, CMP - or 800.444.8662.


If these arrangements are agreeable to you, please enter your name below and press submit to sign the Convention Presenter Agreement.


All presenter forms/requirements are due by April 12th.

PowerPoint presentations are due by May 8th. 

Watch your email for reminders!





Texas Osteopathic Medical Association
1415 Lavaca Street | Austin, Texas 78701
512.708.8662 | (t) 800.444.8662 | (f) 512.708.1415
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