Speaker Details

Speaker Information

Confirmed Speaker Information

Contact Information

  Please list the information as you would like it to appear on HLTH materials.
Used only for onsite logistics if necessary.
~250 characters or less (including spaces). This will be used for our onsite printed workbooks. Note: If the shortened bio sent is in excess of 250 characters, we reserve the right to edit it.

Social Details

@username

Speaker Mailing Address

  We will send you a speaker gift to the address provided.

Upload Your Documents

Drop a file here or click to upload Choose File
Maximum upload size: 2.1MB
Please keep your image to less than 2 MB.
Drop a file here or click to upload Choose File
Maximum upload size: 2.1MB
Please keep your image to less than 2 MB.
Drop a file here or click to upload Choose File
Maximum upload size: 2.1MB
Please keep your image to less than 2 MB.
We welcome any suggestions or requests for speaker animations. You can see current examples by scrolling over each speakers' caricature.

Secondary Contact Information

  Please use this section if you are filling out details on behalf of someone else.
Please note:You will receive an automated email after submitting your details. If you DO NOT receive an email, please email info@hlth.co.