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Session Acceptance
CFHA Annual Conference - Session Acceptance


General Submission Agreement

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Please complete the information below for the Primary Contact person who is responsible for confirming details and arrangements for your submission.

Communication will be handled primarily through email. Please ensure that your email server can accept mail from "" and be sure to check your junk/spam filters so that you receive these communications.

Please include details for the submission and presentation offer for which you are responding. (Reply for only 1 presentation per form, please.)

I/we have read and acknowledge the terms and conditions for presentation at the CFHA Conference as included in the General Submission Agreement and will relay this information to all presenters, co-presenters, panelists and guests.

I/we hereby also acknowledge that all persons who will attend and present this session at the Conference (lead presenters, co-presenters, panelists and guests) are required to:

1. Complete the online disclosure form no later than July 15, 2018, to report any conflicts of interest or commercial interests.The link to the disclosure will me sent to you.

2. Register in advance and pay to attend and present at the CFHA Conference. (Online registration will open June 15; early bird discounts apply before September 7).
CFHA reserves the right to modify the Conference program/agenda and make scheduling changes in the best interest of the CFHA Conference. The Primary Contact for this presentation will be notified by email about any potential changes as they occur.

If you DECLINE, you do not need to complete the other parts of this form.

Please complete Parts 2 and 3 of this form if you intend to ACCEPT this Presentation Offer.

As Primary Contact for the above referenced session, you must respond to the following statement on behalf of all presenters for this session.

I attest that I/we have the requisite education, training, and/or experience in relational systems clinical practice to be qualified to teach and present on the topic under review.

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P. O. Box 23980,
Rochester, New York
14692-3980 USA

What We Do

CFHA is a member-based, 501(c)(3) non-profit organization dedicated to making integrated behavioral and physical health the standard of care nationally. CFHA achieves this by organizing the integrated care community, providing expert technical assistance and producing educational content.