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Volunteer to Speak
Please fill this form out to apply
First Name*
Last Name*
Email*
Where Are You Located?*
How Far Are You willing to travel to speak to residents and/or medical students?*
Specialty*
Specialty
Family Medicine
Pediatrics
General Practice
Geriatrics & Aging Care
Obesity & Metabolic Medicine
Primary Care
Sports Medicine & Musculoskeletal Medicine
Sleep Medicine
Internal Medicine
OBGYN
Other
Do you have any local programs you would like us to reach out to?
Do you have a prepared lecture already?
(if not, we have a few you can use)
For scheduling purposes, what day of the week (or half day) tends to be the best for scheduling?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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