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Hawaii Electronic Abstract Form

Deadline - Monday, December 15, 2014
WARNING: This form is programmed to reject all submission attempts after 11:59PM, December 15, 2014

Abstract Title*

Please delete the sample abstract below and type or copy your abstract in its place. Limit your submission to 450 words or less. Be sure to include full author block including affiliations in your text. Type single-spaced. For electronic submission, you do not need to stay within the borders. The abstract form does not accept graphs, charts, tables, etc.*

Submitted for*
First Author*
The presenting author should be listed as the first/submitting author.
First Name*
Last Name*
ACP #*
(If you have applied for membership, have not yet received your ACP#, please enter 'pending'.)
Address 1*
Address 2
City*
State*
Zip*
Home Phone*
E-mail*
Additional Authors, Email Addresses, and Affiliation
Program Director/Med School Coordinator's First Name*
Program Director/Med School Coordinator's Last Name*
Program Director/Med School Coordinator's Email*
Program Director/Med School Coordinator's Phone*
Abstracts accepted for the ACP Hawaii Annual Meeting will be published in a Supplement to the Hawaii Journal of Medicine and Public Health. If opting-in, please fill out the copyright transfer form completely and submit to jenhelman@gmail.com when you submit your abstract. Your response will not impact selection for presentation.
Opt-In Opt-Out
After the ACP Hawaii Chapter Annual Meeting, some authors will be invited to submit full length manuscripts. Would you and your co-authors like to be considered for this? Your response will not impact selection for presentation.*
Yes No
I acknowledge that my Senior Author and Program Director/Medical School Coordinator have reviewed and approved my abstract submission.*


If you have questions about the Abstract Competition, please contact Jenny Helman at jenhelman@gmail.com.

Page posted: August 5, 2014