Please fill out to receive FAMIA Updates Please fill out this form to be notified of FAMIA Applied Informatics Recognition Program details as they become available. OK Question Title * 1. First Name OK Question Title * 2. Last Name OK Question Title * 3. Organization OK Question Title * 4. eMail OK Question Title * 5. I am a... Physician Nurse Pharmacist Dentist Public Health practitioner Clinical Researcher Computer Scientist Other (please specify) OK DONE