ArMA's Ambassador Program

ArMA's Ambassador Program

An exclusive benefit for ArMA members, the ArMA Ambassador Program allows Arizona physicians to connect directly with state legislators and form a relationship centered around providing reliable, science-based information on healthcare and public health policy. Interested in becoming an ArMA Ambassador? Fill out the form below. If there are any available spots in the program, an ArMA staff member will reach out. If you have any questions, please reach out to ArMA's Advocacy Team at ArMA-advocacy@AZmed.org.
Full name:*

First NameLast Name
Email address:*
example@example.com
Phone number:*
Please enter a valid phone number.
Are you a current ArMA member?*

YesNoOther
Home address:*

Street Address

Street Address Line 2

CityState

Zip Code
Do you know what legislative district you live in? If so, please indicate it below.
What is your political affiliation?*
Do you have a relationship with a state legislator that is currently in office? If so, please indicate the name of the legislator and the nature of your relationship below. This information will help us match you with the ideal legislator.
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