To sign up for the 2023 Pediatric General Assembly Day with the Virginia Chapter, American Academy of Pediatrics, please complete the form below. 

2023 Pediatric General Assembly Day is scheduled for Thursday, January 19, 2023 in Richmond, VA.

To find your legislator: https://whosmy.virginiageneralassembly.gov/

Question Title

* 1. First and Last Name

Question Title

* 2. Email

Question Title

* 3. What is your Home Address? (Used to determine who your legislators are)

Question Title

* 4. What is your cell phone number? (000-000-0000)

Question Title

* 5. Name of your Delegate

Question Title

* 6. Name of your Senator

Question Title

* 7. Please provide what specific child health issues you want to focus on.

Question Title

* 8. Additional Comments/Questions

T