Share your scheduled visits.

Please help the National AHEC Organization by sharing details of your scheduled visits on Capitol Hill. This information is useful to NAO leadership and our Washington D.C. representatives. Complete one form for each scheduled visit and include as much information as you can.

Hit the Submit button at the bottom of the page to submit your scheduled visit. If you would like to share information on additional scheduled visits, click Done at the bottom of the Thank You page to repeat the Scheduled Visits form.

Please do not hesitate to contact one of your NAO Public Policy Co-Chairs if you have any questions.

Our warm regards,

Angela Boyer                                     Kristina Fjeld-Sparks
anhollow@iupui.edu                          kristina.e.fjeld-sparks@dartmouth.edu

Please enter your name.

Question Title

* Please enter your name.

Please enter your email address.

Question Title

* Please enter your email address.

Please enter your state.

Question Title

* Please enter your state.

AHEC Affiliation (select one)

Question Title

* AHEC Affiliation (select one)

Congressional Office (select one).

Question Title

* Congressional Office (select one).

Senate or House Office (name of Senator or Representative)

Question Title

* Senate or House Office (name of Senator or Representative)

Name of person(s) with whom you are scheduled to meet.

Question Title

* Name of person(s) with whom you are scheduled to meet.

Date of scheduled meeting.

Question Title

* Date of scheduled meeting.

Date / Time
Time of scheduled meeting.

Question Title

* Time of scheduled meeting.

Date / Time

T