Speaker Request Form

Your Name (required)

Your Email (required)

Your Healthcare Profession (required)

Healthcare Practice
Private PracticeClinic

Program/Service Interest
[checkbox Program/ServiceInterest label_first "Webinars" "Certification Training" "Business Building Training " "Consultant/Mentor"]


We  look forward to speaking with you. Someone will be in touch with you within 48 hours

Thank You for your interest in wanting to speak with Njideka about being a presenter at your event.