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10th Annual Marc A. Karpo Call for Abstracts & Poster Competition
Research Title
Enter the complete name of your research title
Authors Names, Contact Information, and Disclosure Notifications
The authors should be listed in the order you wish them to be published. Author #1 will be considered the corresponding author. The Foundation will send all correspondence related to the abstract and, if applicable, the poster to Author #1. Each author listed must select if they have any financial disclosures that should be made known related to this abstract. A detailed disclosure form will be made available once the abstract has been submitted; each person checking "I DO have financial disclosures related to this abstract and will disclose specifics once this abstract is submitted" will be required to fill out this form.
Author #1 First Name
Author #1 Last Name
Author #1 Title
DPM
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This will be used to send you a copy of the form.
Author #1 Address
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Author #1 Financial Disclosures
I DO have financial disclosures related to this abstract and will disclose specifics once this abstract is submitted.
I DO NOT have any financial disclosures related to this abstract.
Author #2 Name
First Name
Last Name
Suffix
Author #2 Email
Author #2 Financial Disclosures
I DO have financial disclosures related to this abstract and will disclose specifics once this abstract is submitted.
I DO NOT have any financial disclosures related to this abstract.
Author #3 Name
First Name
Last Name
Suffix
Author #3 Email
Author #3 Financial Disclosures
I DO have financial disclosures related to this abstract and will disclose specifics once this abstract is submitted.
I DO NOT have any financial disclosures related to this abstract.
Author #4 Name
First Name
Last Name
Suffix
Author #4 Email
Author #4 Financial Disclosures
I DO have financial disclosures related to this abstract and will disclose specifics once this abstract is submitted.
I DO NOT have any financial disclosures related to this abstract.
Additional Author Information
APMA Member Information
Which authors are APMA members? At least one author must be an APMA member in good standing.
Author #1
Author #2
Author #3
Author #4
Author #5
Abstract Information
Select which format your abstract is categorized as.
Scientific
Case
Level of Evidence
Select which level of evidence your abstract is categorized as.
I
II
III
IV
Classification
Select choices
Biomechanics/prosthetics/orthotics
Diabetic Foot/Wounds
Forefoot Reconstruction
Rearfoot Reconstruction/Trauma
Medicine/Other
If you selected Medicine/Other and Other applies, please indicate area of research.
Purpose
Purpose
600
Methodology
Methodology
600
Procedures
Procedures
600
Results
Results
600
Discussions
Discussions
600
Is your abstract industry sponsored?
Yes
No
If "Yes", please elaborate.
Phone :
717-763-7665
Fax :
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Email:
lara@ppma.org
The William L. Goldfarb Foundation 757 Poplar Church Road
Camp Hill, PA 17011