Abstract Submission Form

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First Author Details

First Author Name(Required)

Prefix First Last

First Author Degree(Required)

What is your specialty focus of the First Author?(Required)

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First Author's Email Address(Required)

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First Author's Affiliation(Required)

First Author's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is the First Author a Resident/Fellow?(Required)

Yes

Proof of Residency(Required)

Accepted file types: zip, rar, doc, docx, pdf, txt, xls, xlsx, rtf, Max. file size: 4 MB.

Corresponding Author Details

Is the First Author also the Corresponding Author?(Required)

Yes

Corresponding Author Name(Required)

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What is your specialty focus of the Corresponding Author?(Required)

Please specify the Corresponding Author's specialty focus(Required)

Corresponding Author's Email Address(Required)

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Corresponding Author's Affiliation(Required)

Corresponding Author's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Email

(OPTIONAL) Enter an additional email to be copied on future correspondence. For example, if you are submitting this abstract on behalf of the authors, enter your email here.

Abstract Details

Abstract Title(Required)

Abstract Format(Required)

Structured

Unstructured

Abstract Type(Required)

Basic Science

Clinical

Topic(Required)

Co-Author Details

Add the details for each co-author below. Click the plus (+) or minus (-) buttons to add or remove rows.
Example:

Dr. Jonathan Price
info@neurotoxins.org
International Neurotoxin Institute
48 Wall Street, New York, NY, 10005, USA

Co-Authors

Full Name

Email Address

Affiliation

Full Address

Submitter Email

Status

New

Approved

Revision required

Revision completed

Rejected

Reviewer

Secondary Reviewer

Abstract Stage

Editor

Editor Stage

Tracking Code

Admin Notes

Editor Notes

Comments to Author

Comments from Author

Reviewer Notes

Please use the notes field if you have specific comments for the author or secretariat.

Secondary Reviewer Notes

Please add your additional comments.

Chair - Final Comments

7-10-Minute Podium Presentation

Select 'Eligible' if you would like this abstract to be considered for a 7-10-Minute podium presentation.

Chair Final Approval

Based on abstract type, the Basic Science Chair or Clinical Chair will check off final approval.

Yes

Request Secondary Reviewer

Check if you would like to share your comments with a colleague.

Yes

Working Abstract (doc or docx)

Accepted file types: doc, docx, Max. file size: 4 MB.

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First Author Details

Corresponding Author Details

Abstract Details

Co-Author Details

Abstract submission is now closed.

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