Interoperability Gets Real

Requested Speaker's Name(Required)

First Last

Are you inviting Tom Keane, Mark Atalla, or Sam Kaardal to speak?(Required)

Yes

No

Is an award, certificate, gift or other item being presented to the speaker?(Required)

Yes

No

If yes please describe gift.(Required)

Are any other government employees participating in this event?(Required)

Yes

No

If so, please name and describe their participation.(Required)

Will the speakers’s participation be recorded or transcribed?(Required)

Yes

No

Will any promotional materials for the event include the speaker’s name?(Required)

Yes

No

Is this event:(Required)

Open to the general public

Invitation only

Is there a cost for attendance for members of the general public through ticket or registration fee?(Required)

Yes

No

If yes, what is the exact amount of the ticket or registration fee?(Required)

If there is no publicly available ticket price or registration fee, what is the cost per person for the event organizer to host the event?(Required)

Are there any separately ticketed portions of this event or meals or activities that are not included in the registration fee?(Required)

Yes

No

Will the majority of participants be accompanied by a guest?(Required)

Yes

No

If the requested speaker is not available, are you interested in another ASTP/ONC speaker?(Required)

Yes

No

What other ASTP/ONC speakers would you like to invite?

Type of Presentation(Required)

Please specify the type of presentation(Required)

What topics will the requested speaker be discussing?(Required)

Organization Name(Required)

Organization Website (include https://)(Required)

Type of Organization(Required)

Please Specify Other Organization Type

Requestor Name(Required)

First Last

Email(Required)

Phone Number(Required)

Featured

Artificial Intelligence

Care Continuum

Care Settings

Clinical Topics