If you plan on participating in a live teleECHO™ session, you must complete these two forms and email them to Nicole Crouch.
Intellectual Property Waiver
To be completed by everyone (spokes and SMEs) that enter a Zoom session.
All attendees should sign-in at their spoke site and the site coordinator should return this form following the teleECHO session.
Forms for Presenting a Case
If you are interested in presenting a case, complete the following forms and send them to Nicole Crouch.
Case Presentation Form
Anyone interested in presenting a case at a teleECHO session should complete this form.
All presenters must complete a disclosure form. Please see the Disclosure Memo for more information.
Curriculum Vitae (CV) Template
If you do not already have a CV or resume created, please complete this CV template.