LA-Peds Listserv - Sign-Up Request Form

LA-Peds Email Listserv

SIGN-UP REQUEST FORM
LA-Peds is an email listserv for local pediatric professionals in mental health, healthcare, and medicine who practice in Los Angeles, offering information on issues relevant to pediatric care.
Name*

First Name Last Name
Email*
example@example.com
Profession*
Degrees/Credentials*
Website (if applicable)
By initialing below, you ensure that you are a (1) licensed (2) pediatric (3) mental health/healthcare/medical professional who practices in (4) Los Angeles.*

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LA-Peds Email Listserv