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2021 SPS Virtual Conference
September 18-19, 2021Brought to you in virtual format
WP FORM FOR: Benjamin Jackson, MDIf you are not Benjamin Jackson, MD click here | Return to Faculty Forms.
Required fields are marked with an "*".
I have read the Willingness to Participate information below. These assignments have been made as a result of an invitation to perform the duties as a faculty member for the above-captioned meeting.
Please indicate your participation in the following lectures, workshops, case discussions, and/or as moderator as outlined in the lecture schedule.
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