2022 White Coat Day Registration
Join us March 1 for the annual MSMA White Coat Day in the Capitol. This advocacy event is a great reason to visit the Capitol, get to know your legislators and advocate for the practice of medicine.
Sign in to Google to save your progress. Learn more
Name *
Email *
Medical Specialty *
City or Component Medical Society Name *
Will anyone be attending with you?
If yes, please indicate who will be attending?
Will you and your guest be eating lunch? *
Do you or your guest have any specific dietary needs
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy