Thank you for participating in the 2nd International Nurse Leaders Forum to be held May 17–18, 2023.To confirm your participation, please complete the below. Once complete, click on the Submit button at the end of the form. Presenter First Name * Presenter Last Name * WILL YOU REQUIRE ADDITIONAL AUDIO VISUAL (AV) CAPABILITIES, SUCH AS PLAYING VIDEO CLIPS? * No additional AV setup Yes, additional AV setup needed. Please describe: WILL YOU REQUIRE ADDITIONAL AUDIO VISUAL (AV) CAPABILITIES, SUCH AS PLAYING VIDEO CLIPS? Yes, additional AV setup needed. Please describe: Recording Approval * Optum Health Education will record the activity to make the presentations available as complimentary, on-demand enduring materials. These materials will be designated for continuing education credits for interprofessional health care professionals as deemed appropriate based on the content. Do you consent to be recorded for this purpose? Yes, I do consent to be recorded. No, I do not consent to be recorded. Approval to Post PDF of Slides * Optum Health Education may post a PDF copy of my presentations as part of the on-demand enduring materials? Yes No Leave this field blank
