First Name:
Last Name:
Suffix:
Home Address:
City:
State:
Zip:
Phone:
E-mail Address:
AAFP Member ID (if applicable):
I am interested in becoming an AAFP Key Contact.
Please list any elected officials with whom you have a relationship:
I would like to join AAFP’s Advocacy Action Team. Sign me up to receive information about family medicine issues on Capitol Hill and how I can help make the Academy’s voice stronger.
I am willing to:
Write or call my lawmakers Meet with my lawmakers Participate or host a candidate or political event Speak to newspaper, radio, television reporters Write a letter to the editor of my local paper Educate my employees, friends and family about family medicine issues
I am interested in the following issues:
Medicare physician payment Graduate medical education Family medicine funding (Title VII) Health information technology Medical liability reform Health care coverage for all
Tell your story and let us know how policy made in Washington is affecting your profession:
Copyright © 2012 American Academy of Family PhysiciansHome | Privacy Policy | Contact Us | My Academy | Site MapMembers | Residents | Students | Patients | Media Center AAFP Connection | Find us on Facebook | Follow us on Twitter RSS | Podcasts
