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Special Interest Roster - Speaker Submission Form
 


TxHIMA is accepting submissions into our Online Special Interest Roster - Speaker. If you are interested in participating in the TxHIMA Special Interest Roster - Speaker, please fill out the following information below. In annotating an availability to speak, Speaker also attests that the information submitted below is accurate to the best of Speaker's knowledge.

TxHIMA recognizes that a Speaker may represent a vendor who supplies products or services to the TxHIMA membership. Speaker is prohibited from using this presentation as an advertisement for such products or services. Any product endorsement other than the use of a company name and logo is strictly prohibited.

Your Full Name?

Your Email Address?


Your Phone Number?

Your Biography (Limit to 500 characters)

From where will you be traveling?
Release of Information Legal
JCAHO Coding
Accounts Receivable/Chargemaster Management
e-HIM Performance Improvement
Long-Term Care Human Resources
HIPAA Privacy HIPAA Security

Review the topics above.

Below list the topics on which you would like to speak.

Titles of Previous Presentations

What is your fee range?

Note: If you'd like to include a photograph of yourself, please email a digital version to the webmaster@txhima.org