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Facebook Online Groups
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Public Awareness
Defeat MSA Awareness Shoe
MSA Kickers
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Billboard Campaign
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“A Day For Susana” (Film)
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Volunteer
Memorial Envelopes
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Menu
What is MSA?
MSA 101
Managing MSA
Diseases that mimic MSA
Possible Symptoms & Misdiagnosis
Known MSA Treatments
About Us
Our Mission
Joe’s Story
Our Approach
Board of Directors
Board of Advisors
Financials
MSA Research
Research Registry
Brain Donations
Brain Research Fund
Researcher Blog
World MSA Experts
Pipelines & Resources
Scientific & Medical Research Advisors
Glossary
Patient Programs
Caregivers Blog
Patient Blog
Defeat MSA Loaner Closet
Facebook Online Groups
Friends & Allies
Assistive Communication
MSA Education
Medical Conferences
Patient Blog
Residency Training
Researcher Patient Program
Public Awareness
Defeat MSA Awareness Shoe
MSA Kickers
MSA Shoe Destinations
Billboard Campaign
MSA Awareness Proclamations
“A Day For Susana” (Film)
Facebook Frames
Giving Programs
Legacy Funds
Volunteer
Memorial Envelopes
Facebook Fundraisers
Crowd Fundraising
Donate Now
Presenter Agreement 2023
Defeat MSA Alliance Presenter Agreement
Speaker Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
Title
Prenom (First Name)
Middle Name
Family Name / Surname / Last Name
Presentation Topic Area (if you presented previously, please choose another area unless you are planning an update)
Possible Contribution of Environmental Risk Factors in MSA (or Causative Factors/Pathology of MSA)
New Diagnostic Methods for MSA
New Diagnostic Criteria for MSA
Clinical Trials and New Therapeutic Approaches in MSA
Possible Surgical Therapies in MSA (including Spinal Cord Stimulator and Re-evaluation of DBS?)
Multidisciplinary Approach to Treat MSA (MSA Clinic)
Biomarkers or New Research (Update)
Special Topics: orthostatic hypotension, non motor symptoms, infections, autonomic symptoms, constipation, speech, swallowing, advanced cases care (pegs, etc), advanced directives, erectile dysfunction, ataxia, dystonia, camptocormia, RBD, sleep apnea, pisa syndrome, head & foot drop, etc.
Other (Write Topic in space provided below - Thank you!)
If you have different presentation topic, please fill in the information below:
Postal Address (Professional Institution Address)
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
Speaker Email Address
(Required)
Speaker Phone Number
(Required)
Speaker's Biography/Profile (required for booklet/website)
Max. file size: 640 MB.
A profile or biography for the conference booklet or press release is recommended. All file formats are permitted.
Speaker's Photo (required for booklet/website)
Max. file size: 256 MB.
A photo for press release and conference booklet is recommended. All file formats are permitted.
Exhibits/Slides/PowerPoint
Drop files here or
Select files
Accepted file types: jpg, gif, png, pdf, ppt, Max. file size: 1 GB, Max. files: 10.
Please upload any exhibits, slides or PowerPoint you will use in your presentation.
Primary Presentation Title (If not in English, please provide the title in both languages)
(Required)
What is the title of your primary presentation?
Language of Presentation
(Required)
In what language will you be presenting?
Second Presentation Title (If not in English, please provide both languages)
What is the title of your second presentation? (If you have two presentations)
Language of Second Presentation
In what language will you be presenting?
Views and Conclusions are My Own
(Required)
Views and Conclusions are My Own
(Required)
I agree to advise the audience that the views and conclusions presented in my talk are my own and do not represent the views of Defeat MSA Alliance (USA) or any affiliated charities in the MSA United International Consortium. I will not promote specific labs, researchers, companies or other entities who are unaffiliated with MSA United Consortium.
Disclosures
(Required)
Disclosures
(Required)
I will disclose whether I am being compensated by a pharmaceutical company and/or a similar company organization.
No Medical Advice
(Required)
No Medical Advice
(Required)
I agree not to give any medical advice. I will advise viewers to contact their medical services provider for any questions about diagnosis or treatment.
Permission to post video
(Required)
Permission to post video
(Required)
I give permission to Defeat MSA Alliance and MSA United International Consortium to edit and post a video of my presentation on social media and to use my image and likeness.
Message to Conference Coordinator (optional):
Donate Now
What is MSA?
MSA 101
Managing MSA
Diseases that mimic MSA
Possible Symptoms & Misdiagnosis
Known MSA Treatments
About Us
Our Mission
Joe’s Story
Our Approach
Board of Directors
Board of Advisors
Financials
MSA Research
Research Registry
Brain Donations
Brain Research Fund
Researcher Blog
World MSA Experts
Pipelines & Resources
Scientific & Medical Research Advisors
Glossary
Patient Programs
Caregivers Blog
Patient Blog
Defeat MSA Loaner Closet
Facebook Online Groups
Friends & Allies
Assistive Communication
MSA Education
Medical Conferences
Patient Blog
Residency Training
Researcher Patient Program
Public Awareness
Defeat MSA Awareness Shoe
MSA Kickers
MSA Shoe Destinations
Billboard Campaign
MSA Awareness Proclamations
“A Day For Susana” (Film)
Facebook Frames
Giving Programs
Legacy Funds
Volunteer
Memorial Envelopes
Facebook Fundraisers
Crowd Fundraising
Menu
What is MSA?
MSA 101
Managing MSA
Diseases that mimic MSA
Possible Symptoms & Misdiagnosis
Known MSA Treatments
About Us
Our Mission
Joe’s Story
Our Approach
Board of Directors
Board of Advisors
Financials
MSA Research
Research Registry
Brain Donations
Brain Research Fund
Researcher Blog
World MSA Experts
Pipelines & Resources
Scientific & Medical Research Advisors
Glossary
Patient Programs
Caregivers Blog
Patient Blog
Defeat MSA Loaner Closet
Facebook Online Groups
Friends & Allies
Assistive Communication
MSA Education
Medical Conferences
Patient Blog
Residency Training
Researcher Patient Program
Public Awareness
Defeat MSA Awareness Shoe
MSA Kickers
MSA Shoe Destinations
Billboard Campaign
MSA Awareness Proclamations
“A Day For Susana” (Film)
Facebook Frames
Giving Programs
Legacy Funds
Volunteer
Memorial Envelopes
Facebook Fundraisers
Crowd Fundraising