Your Care is at Our Core

1
Your Name* This field is required.If you would like your testimonial published anonymously, please let us know on the next slide.
First Name
Last Name
Credentials
2
Would you like your testimonial to be kept anonymous?* This field is required.By submitting a testimonial, you consent to it being shared on ArMA and the AMA's channels, including social media. If you prefer to remain anonymous, your testimonial will be published without identifying information.
Yes
No
3
What would you like to say to patients about the healthcare system and how it impacts the care you're able to provide?
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4
What motivates you to deliver quality care to Arizona's patients despite the myriad of challenges physicians face?
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What city or town do you practice in?* This field is required.If you choose to be identified, your name and location of practice will be included in your testimonial.
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Your Email* This field is required.Please provide your email address in case ArMA's staff needs to contact you about your submission.
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7
(Optional) Please share any additional patient stories that you feel highlight your commitment to providing high-quality, compassionate care.Stories may include overcoming an administrative challenge to help a patient, treating an especially memorable patient, or the impact of being able to take the time to listen to a patient and their health concerns.
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