Arizona Request-to-Speak Sign-Up
Please use the following form to submit a request to be registered with the Arizona Capitol's Request-to-Speak (RTS) system, which allows you to weigh in on legislation up for consideration. Include your full name as you'd like it listed in the system and a personal email address. A staff member of the Arizona Medical Association will register you at the Capitol using a temporary password and the information you provide. After registering you, a staff member will pass on your login credentials. If you have any questions, please contact ArMA's Advocacy Team at ArMA-advocacy@AZmed.org.
Name
*
First Name
Last Name
Credentials
*
MD, DO, Medical Student, etc.
Personal Email Address
*
example@example.com
Have you been registered with the Capitol's RTS system before?
*
Yes
No
I'm not sure
Submit
Should be Empty: