SSRCON 2023 :: Image Competition form

Contact Details

Title

First Name

Last Name

Organization

Position

Type of Industry

Gender

Email Address

Work

Mobile

Primary Address

City

Country

State

Postcode

Image Submission Eligibility

Who is eligible to submit an image?
SSR members and non-members are eligible to submit an image.

Images that are eligible for submission:
The SSR seeks images representing a diverse range of patients that show either characteristic or unusual manifestations of the rheumatic disease

Images that are not eligible for submission:
- Images that have been published before the Image Competition submission deadline
- Images that are copyrighted

Submit Image

Patient Authorization and Release Form (attached document) * Document should be printed and signed to be submitted below

Patient Authorization and Release Form

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Welcome to the Image Competition form

Contact Details

Primary Address

Image Submission Eligibility

Thank You

Welcome to the Image Competition form

Contact Details

Primary Address

Image Submission Eligibility

Thank You

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