Speaking - EUPATI Collaborate

Collaborate with EUPATI and invite us to be presented at national or international events!

Help spread the word and share experiences of patient education and patient engagement.

Would you like an EUPATI representative to speak at your event? Please complete the form below to help us meet your request.

Name (First/Family)*

Organisation*

Title

Country*

E-mail address*

Phone number (+ country code)

What is the name of the event that you would like to have a representative from EUPATI?*

Where will the event take place?*

When is the event taking place?*

Who from EUPATI you would like to invite as a speaker?*
EUPATI Team member
EUPATI Board member
EUPATI Fellow
EUPATI Partner
Other (please specify below)
By when would you need to confirm the name and availability of the EUPATI speaker?*

Website of the event

Any other information on the event that you would like to share?*
Consent*
I agree to the privacy policy.
Your e-mail address is only used to assess your request. If you would like to subscribe to the newsletter, please check the box below.
I would like to subscribe to the EUPATI Newsletter.
Yes.
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