Media

The FDA and the co-sponsoring organizations for the Ophthalmic Digital Health workshop welcome media coverage of this important topic. Two individuals from each media outlet are eligible to receive complimentary registration with a submitted and approved request. Upon review of requests, the primary contact person will be notified. This event has limited funding and organizers reserve the right to decline any request. If you do not receive notification, please contact [email protected].

• Media Request Form

• Media Outlet: *
• Outlet Web Address: *
• Requested By: *
  First Name Last Name
• Requester's Email: *
• Requester's Phone: *
  - Area Code Phone Number
• Editor/Producer Email:
• Editor/Producer Phone:
  - Area Code Phone Number
• Media Type: *
  TV Radio Internet Photography Other option
  
• Distribution Type: *
  Daily Weekly Monthly Yearly Other option
  
• Circulation/Broadcast Audience: (ex: 50,000) *
• Attendee 1 Name: *
  First Name Last Name
• Attendee 1 Position: *
• Attendee 1 Email Address: *
• Attendee 2 Name:
  First Name Last Name
• Attendee 2 Position:
• Attendee 2 Email Address:
• Submit
• Should be Empty: