Schedule an Illinois DocAssist Educational Event Schedule a DocAssisst Event Heading link Copy link Clinician's Name * Required First Last Name of Provider Practice * Required Provider Type * RequiredPhysicianNurseNurse PractitionerPhysician AssisantSocial WorkerPsychologistLicensed Mental Health ClinicianOtherIf other, please specify * Required Specialty * RequiredPediatricsPsychiatryPsychiatryFamily MedicineSchoolsObstetrics and GynecologyOtherIf other, please specify * Required Topic of Interest * Required ADHD Bullying and Cyberbullying Impact of COVID-19 on Pediatric Mental Health Mood Disorder Adjustment Disorder Anxiety Disorder Autism or Other Neurodevelopment Disorder Disruptive Behavior Disorders Developmental Disorders Substance Misuse Disorders Pediatric Suicide Perinatal Mental Health Disorders Perinatal Substance Misuse Disorders Trauma Case Consultation Other If other, please specify * Required Number of Participants * Required12345678910+Specify if more then 10 * Required Phone * RequiredEmail * Required Best Time to Contact * Required