MIMPA/MMG Volunteer Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Malaysian Integrated Medical Professionals Association is an organization formed by multidisciplinary medical specialist with the aim to empower the community through community mobilization in making the right decisions in relation to health matters.

MIMPA also owns the Malaysian Medical Gazette (MMG); an online health hub handled by qualified specialist to share and educate the community.

Thank you for volunteering!

Email *

Full name: *

Email address: *

I am interested in: *

Community Outreach Programs

Disaster Missions

Health Education

Other:

Required

Occupation: *

Student (non-health)

Student (health related)

Medical student

Doctor

Pharmacist

Dentist

Health professionals

Professional

Non-health related

Other:

Suggestions for MIMPA outreach programs

Suggestion for MMG articles

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of International Islamic University Malaysia. Report Abuse

Forms