If we determine that you and your material are a good fit for our needs, we may choose to include you in our marketing, advertising and brochures, plus our web sites, and book you for speaking, training and/or consulting opportunities.

Please submit the following information for review.

• Biography (one paragraph description which will be used in your introduction)
• Brief program(s) description outlines (list one objective per hour)
• Detailed program descriptions, which includes:
  - Title(s)/Topic(s): Suggested title and topics range
  - Background: One paragraph description
  - Purpose Statement
  - Designed for: What kind of audience, e.g., physicians, nurses, pharmacy
• Photo
• Published Work: list of books, articles, etc., that you have authored, published or interviewed for
• Schedule: list of time of day or days of the week you are available
• What location are you willing to visit: geographically
• References

Please send information by mail to the address below or via e-mail:

Ohio Patient Safety Institute
Attn: Rosalie Weakland
155 E. Broad Street, 15th Floor
Columbus, Ohio  43215

Thank you in advance for sending this information.  We review information quarterly and will contact you after we have reviewed the material. 

We appreciate your interest in helping us spread the word about patient safety,
we look forward to the possibility of working with you!