Speaker Bio, Consent, Willingness to Participate Form

66th Annual Spring Meeting - 2026

April 23-25, 2026
Caribe Royale Orlando • Orlando, FL

WILLINGNESS TO PARTICIPATE FORM

WP FORM FOR: Dzi-Viet Nguyen, DO
If you are not Dzi-Viet Nguyen, DO click here | Return to Faculty Forms.

Contact Information

Required fields are marked with an "*".

Name: Dzi-Viet Nguyen, DO
Academic Title (if applicable):*
If you are not faculty with an academic institution, you may use your profession for title and practice name for institution. This information will be displayed in the meeting app under the Faculty listing.
Academic Institution:*
Academic Institution City/State:
Preferred Mailing Address:*
Cell Number:
Fax Number:
E-mail Address:*
Twitter Handle:
Admin Assistant Name:
Admin Assistant Phone:
Admin Assistant Email:
The AOAO does not share speaker contact information. Your phone number and email address are used by our administrative staff for the purpose of communicating important information with you on or before the date of your lecture.
Willingness To Participate/Adherence To Deadlines

I have read the Willingness to Participate information below. These assignments have been made as a result of an invitation to perform the duties as a faculty member for the above-captioned meeting.

Please indicate your participation in the following lectures, workshops, case discussions, and/or as moderator as outlined in the lecture schedule.

Participation Date   Lecture Title
I am pleased to participate in all lectures, workshops, case discussions, and/or as moderator as outlined in the lecture schedule.

Sat, Apr 25, 2026  Neuroma Management

 

Sat, Apr 25, 2026  Cases and Panel Discussion - Hand

 
I agree to adhere to all deadlines outlined in my faculty letter/email.
Bio | Consent | CV
The American Osteopathic Academy of Orthopedics would like the right to audio and/or video record and collect your slide presentation for this CME course without limit for any purpose which the AOAO deems proper in the interest of instructional materials only

Biography:
(150 word summary of educational and practice background that relates directly to your proposed topic.)
CV:
Please upload your CV. Acceptable file formats are Word documents and PDF. No video files permitted. File size is limited to a total of 3 MB each.
Signature:
Date:
By checking this box, I am providing my electronic signature approving all the information entered above. (Please enter name and date on signature and date lines above).