Pasifika Medical Association Conference 2022
'Reconnect, Reflect, Reframe, Re-energise'
Abstract Submission Form

1. Abstract Details

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* 1. Have you read the Abstract Guidelines made available on our website membership.pacifichealth.org.nz

Yes

No

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* 2. Title of abstract presentation

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* 3. Abstract (max. 250 words)

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* 4. Additional authors

Author 1

Author 2

Author 3

Author 4

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* 5. Presentation delivery requirements (Note that standard equipment will be made available if needed such as laptop, data projector, flip-charts, pens. Please specify any additional requirements not listed).

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* 6. Presenter Details

Title (Dr, Hon, Professor, Associate Professor, etc)

First Name

Last Name

Qualifications

Organisation/ Place of Work

Position title

Email (Required)

Contact number (Required)

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* 7. Postal Address

Street Address

Suburb

City

Postcode

Country

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* 8. Declaration of original work and informed consent
The following declaration must be provided by presenter (you) and on behalf of co-authors (if applicable) for abstract presentations to be considered.

I declare that this research/work is my/our original work and consent to publication in the official conference proceedings and related publications (Please select Yes or No).

Yes

No

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* 9. We also invite you to submit a paper for publication in the Pacific Health Dialog (PHD) Journal of Pacific Research. We promote all research relating to the Pacific region with a particular focus on Community Health and Clinical Medicine. It is the only MEDLINE listed Medical and Public Health journal published specifically for Pacific Island countries and covers a broad range of topics. For more information, please email submissions@pacifichealthdialog.co.nz.

Okay