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South Carolina Chapter Electronic Abstract Form

Only electronic submissions will be accepted.

Deadline - Tuesday, Aug. 6, 2013
WARNING: This form is programmed to reject all submission attempts after Midnight Eastern time on Tuesday, August 6, 2013

A Conflict of Interest Form MUST be included with each submission. ALL authors must complete the form and submit it. Submissions will NOT be accepted without a COI form [MS Word] from EVERY author/contributor of the abstract.

PLEASE COMPLETE YOUR CONFLICT OF INTEREST DISCLOSURE FORM AND EITHER FAX OR SCAN AND EMAIL TO:

Mary Beth Poston, MD
Phone: 803-545-5345
Fax: 803-545-5349
Marybeth.Poston@uscmed.sc.edu

All individuals submitting an abstract must also register for the chapter meeting, or their abstract will not be accepted. To register, visit the SC chapter website

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. 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*
Abstract Type*
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 (please list, if any)
Institution*
Program Director's First Name*
Program Director's Last Name*
Program Director's Phone*
Program Director's Email*


If you have questions about the Abstract Competition, please contact Mary Beth Poston, MD via phone 803-545-5345 or email marybeth.poston@uscmed.sc.edu.

Page posted: June 4,2013