*1.First Name(Required.)

*2.Last Name(Required.)

*3.Residency Affiliation(Required.)

*4.AAFP/FAFP Member ID #(Required.)

*5.Email(Required.)

*6.President Candidates: *select ONE option below.
(Required.)

Alexis Flynn-Hanlon, MD

*7.Vice President Candidates: *select ONE option below.
(Required.)

Sarah Hylton, DO

Jordan Miller, MD

Martin L. Molina, MD

Thuy-Linh Nguyen, DO

Miraj Patel, MD

Nancy Sidhom, MD

Magalys Suarez, MD

*8.Secretary/Treasurer Candidates: *select ONE option below.
(Required.)

Lilian Fornos, MD

Arman Qureshi, DO