National Abortion Federation: Request a Speaker

Professional education is essential to NAF's mission. NAF develops quality educational resources and provides continuing medical education for health care professionals.

To request a speaker for an abortion-related topic at a grand rounds, medical conference, nursing or medical school, local medical association meeting or other venue, please complete the following form. More information on our educational resources

* Required field

Contact Information

	* Name

	* Organization

	Street Address

	* City

	* State/Province

	* Zip/Postal Code

	Country

	* Phone number

	Fax number

	* Email


Event Information

	Topic(s) to be covered

	Venue

	Number of Participants

	Role of Participants (check all that apply)

	Physicians	Ultrasound technicians
	Other clinicians (CNMs, NPs, PAs)	Clinic administrators
	Medical students	Counselors
	Nursing students	Other:
	Medical residents

	Desired Outcome (What should the participants know or be able to do after this training?)

	Number of Hours Allotted for Training Sessions:

	Desired Training Date(s):


	Funding

	Does your institution/organization have funding to cover the costs of faculty?
	Is there an honorarium for faculty?



	Have you contacted other groups or individuals with this request? Yes No If so, we would appreciate your listing them here so that we may coordinate with them to avoid duplicate requests to the same faculty.

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