NH Medical Society Corporate Affiliate Program - Application Form

Founded in 1791 by one of our country’s founding fathers and the state’s first elected Governor, Dr. Josiah Bartlett, the mission of the New Hampshire Medical Society (NHMS) is to bring together physicians to advocate for the well-being of our patients, for our profession and for the betterment of public health. To help fulfill this mission, the Medical Society seeks Corporate Affiliate program members whose support provides an invaluable bond between the business community, physicians and their practices. Our Corporate Affiliate program members will gain insight into NHMS expertise on issues and information impacting the medical community and healthcare environment in the Granite State.
NHMS Corporate Affiliate Program member benefits by Affiliate type:


1.Selected Affiliate Type(Required.)
2.Organization Name(Required.)
3.Organization Website(Required.)
4.Organization Address(Required.)
5.City(Required.)
6.State(Required.)
7.Zip Code(Required.)