Request for Oral Health Prevention Primer (OHPP)
PowerPoint Presentation

Thank you for presenting the Oral Health Prevention Primer. Please provide the information requested below. Once completed, we will send you the presentation.

We look forward to your feedback on the materials and event.

Thank you.

Question Title

* 1. Contact Information:

Name:

Email:

Organization:

Phone:

City, State

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* 2. If you are making this request on behalf of the presenter, please provide the information below.

Presenter Name (First, last, suffix)

Question Title

* 3. Is the presenter a Fellow of the American Academy of Pediatrics?

Yes

Don't know

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* 4. If this will be a collaboration, please provide name(s) of the other organization(s).

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* 5. If presentation will be held in conjunction with an AAP Chapter, and that information is not already included above, please provide Chapter contact person:

Name:

Email:

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* 6. Will the Chapter Oral Health Advocate (COHA) be involved in this presentation?

Yes

Our Chapter does not have a COHA.

Don't know

Question Title

* 7. Please describe the anticipated setting and audience for this presentation.

Educational venue (eg Chapter meeting, grand rounds, coalition meeting, etc.)

Date/Time (if set):

Meeting Size (# of people anticipated):

Request for Oral Health Prevention Primer (OHPP) PowerPoint Presentation

Question Title

* 1. Contact Information:

Question Title

* 2. If you are making this request on behalf of the presenter, please provide the information below.

Question Title

* 3. Is the presenter a Fellow of the American Academy of Pediatrics?

Question Title

* 4. If this will be a collaboration, please provide name(s) of the other organization(s).

Question Title

* 5. If presentation will be held in conjunction with an AAP Chapter, and that information is not already included above, please provide Chapter contact person:

Question Title

* 6. Will the Chapter Oral Health Advocate (COHA) be involved in this presentation?

Question Title

* 7. Please describe the anticipated setting and audience for this presentation.

Request for Oral Health Prevention Primer (OHPP)
PowerPoint Presentation