NCAFP White Coat Wednesday 2026 Survey

The NCAFP will host its annual White Coat Wednesday on May 20, 2026. Physician Members, Resident Members, and Medical Student Members who are interested in participating should fill out the below information.

The day will begin with a brief training and overview of NCAFP policy priorities and positions at the office of The Raleigh Group (our lobbyists) at 421 N. Harrington Street. We will travel as a group to the Legislature (16 W Jones Street, Raleigh) and begin meetings. Your meetings will be prearranged for you by NCAFP staff, but please feel free to reach out to us if you have specific questions or time constraints.

1.First Name

2.Last Name

3.Designation (MD/DO/Year in Medical School)

4.Email Address
Please use an email address that you check regularly as this is where we will send information and updates.

5.What is your practice/residency/medical school's name?

6.Please select which of the following you have participated in previously:

NCAFP Advocacy Committee

NCAFP White Coat Wednesday

Medical Society or other organization's Advocacy event

Other (please specify)

None of the above

7.What is the address where you are registered to vote? We will schedule your meetings with your representatives based on this address.
If you aren't sure, you can check it here: https://vt.ncsbe.gov/RegLkup/

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

8.I have an existing relationship with one of my representatives:

Yes

Please let us know who you have a relationship with so we can schedule accordingly. If you have a relationship with a member who is not your representative, please feel free to let us know that as well.

9.Do you have any specific policy interest areas?