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Speaker Request Form

Due to the current situation regarding COVID-19, the coronavirus disease, UT Physicians has decided to temporarily suspend all upcoming speaking engagement requests until further notice. Thank you for your patience and understanding.

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Speakers Bureau

UT Physicians is home to a community of medical experts who are fortunate to serve the health care needs of patients from around the world.

With the extensive knowledge of our staff, 2,000 clinicians certified in more than 80 specialties and subspecialties, we can offer experts on a variety of topics for your upcoming event.

When requesting a speaker, please provide detailed information regarding your event or group, including the exact location and topics of interest.

Scheduling Instructions

  1. Complete the Speaker Request Form and a member of the Department of Marketing and Communications will be in contact with you in 1-2 business days to confirm details.
  2. Please schedule your request at least 30 days in advance from your event.
  3. We require your audience have a minimum of 15 participants.
  4. The requesting organization is responsible for any audio/visual (A/V) equipment required by the speaker.

Requester Information


Event Information

MM slash DD slash YYYY
Event Location*
Presentation Start Time*
Presentation End Time*
This field is for validation purposes and should be left unchanged.