Adopt a Legislator

Adopt a Legislator

KPhA Advocacy - PBM Reform
Thank you for joining the movement by answering these nine quick questions - it takes less than two minutes! We'll match you with your legislators and give you the tools to make an impact on PBM reform.
Name

First NameLast Name
Email
example@example.com
HOME Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
WORK Address

Company Name

Street Address Line

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
PRACTICE setting - choose all that apply

Chain pharmacy - District managerChain pharmacy - Pharmacy managerChain pharmacy - Staff pharmacistChain pharmacy - StudentChain pharmacy - TechnicianHealth system - AdministrationHealth system - ClinicalHealth system - InpatientHealth system - OutpatientHealth system - StudentHealth system - TechnicianIndependent - Pharmacy ownerIndependent - Pharmacy managerIndependent - Staff pharmacistIndependent - StudentIndependent - TechnicianManaged careSpecialtyOther
If other, please specify.
Do you already have a relationship with your state senator or state representative, or with a lawmaker who is not in your district? We'd love to know more! Please use the box below to tell us who you know.
Do you have a friend or colleague who knows a lawmaker well? Let us know and we'll follow up directly with them!
Would you be willing to lead a discussion with a legislator at a meet and greet or a scheduled meeting?

Yes, I am happy to help be the point person for discussions.Yes, but only on particular subjects.No, I do not feel comfortable leading the conversation, but happy to be in the background as a support person.No, I do not want to attend meetings with legislators at all.
If only interested in particular subjects, please let us know what you are comfortable with leading!
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