Government Affairs Committee: Sign up to get involved
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1. Default Section

1. Your Name:

Your Name:

2. Your email address:

Your email address:

3. Are you actively involved in your state medical society or a specialty society?

Are you actively involved in your state medical society or a specialty society? Yes

If yes, please tell us the name of the organization(s):

4. Do you treat or personally know someone who has influence on state policy decisions?

Do you treat or personally know someone who has influence on state policy decisions? Yes

5. Do you treat or personally know someone who has influence on federal policy decisions?

Do you treat or personally know someone who has influence on federal policy decisions? Yes