Request a medico-legal speaker

An MDU medico-legal adviser may be able to speak at an event you are planning.

So we can make a quick decision about your speaker request, please provide as much detail as possible.

As an organisation, we understand that data must be handled securely. For more information about how we collect, store and use data please see our privacy policy at themdu.com/privacy

Event details

Event name

Event address (please include postcode)

Date of event (DD.MM.YYYY)

Event start time

Event finish time

Topic of MDU lecture required

Length of lecture (in minutes)

Time of lecture

Medical Specialty of audience

Main audience type (Please select)

Number expected (minimum 20)

Secondary audience type (if applicable)

Number expected (if applicable)

Are you paying our travel expenses?

Is there an opportunity for us to have a stand?

Yes
No

Please name any sponsors for this event

Have you discussed this request with a member of MDU staff? If so, please give name

If we are unable to fulfil this specific request, is there scope for an alternative time, date or topic?

Additional Information

Event organiser details

First name

Last name

Are you an MDU Member? If so, please include your membership number

Telephone number

Email address

Are you happy for us to keep you informed about future MDU educational events?

Yes
No

Your personal details will be kept by the MDU to provide you with information about educational events. You can withdraw your consent at any time by emailing direct.mailteam@themdu.com.