Speaker request form

We welcome requests for our staff to speak at events relating to and/or for doctors, physician associates (PAs), anaesthesia associates (AAs) and healthcare more generally.

If you'd like to request a speaker, please complete the form below in full. Please provide as much information as possible as this will help us manage your request efficiently.

Please give us as much notice as possible, ideally submitting the form at least three months before your event. We will accept requests at shorter notice, but may not be able to accommodate them.

We aim to get a decision back to you within three weeks.

We are committed to protecting your personal information and keeping this secure. For more information on how we do this please see our privacy policy.

Please complete the form below

Contact information

Details of your event

Will your event be livestreamed or pre-recorded? (optional)

Programme details

Final details

Will there be a Q&A? required
Are speaker slides required? required
Will the event be recorded? required
Will the event be photographed? required
Will journalists/the media be present? required