ODAC Poster Submission Form

Name*

First Last

Title/Degree*

Company Name/Institution Affiliation*

Address*

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

Phone*

Email*

Please provide information for your fellow presenter(s), if applicable. If you have more than 2 co-authors, you may upload their information in a PDF or Word doc under "Author Biographies."

Name

First Last

Title/Degree

Address

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

Phone

Email

Name

First Last

Title/Degree

Company Name/Institution Affiliation

Address

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

Phone

Email

Please indicate who is our main contact regarding this poster and who will be onsite for presentation.

Name*

First Last

Title/Degree*

Preferred Contact Phone*

My poster is a*

Case Study
Scientific Research

My poster covers what Dermatology Therapeutic Area*

How is your poster submission considered a new Discovery in Dermatology?*

Poster Title*

ODAC Poster Category*

There are two categories for poster submissions, please select your category below.

Target Audience*

You can upload your summary topic here as well (optional)

Max. file size: 100 MB.

Summary of Topic

Author Biographies

You can upload your author biographies here as well (optional)

Max. file size: 100 MB.

Abstract

Please copy and paste a 400+ word Abstract

Hidden

Upload an abstract (optional)

Max. file size: 100 MB.

Upload a PDF of your poster (optional)

Max. file size: 100 MB.

Presentation History: Has this presentation been offered at other conferences?*

Yes
No

Supplement Permission

Your Signature By signing above I give conference organizers permission to publish my abstract as a supplement in the Journal of Drugs in Dermatology and online platforms. If my abstract is selected for a supplement, I understand organizers will contact me. Signature does not guarantee abstract publication.

Additional Comments

Please provide information for your fellow presenter(s), if applicable. If you have more than 2 co-authors, you may upload their information in a PDF or Word doc under "Author Biographies."

Additional Info