Global Scientific Statement — Professional Signature Form

Global Scientific Statement — Professional Signature Form

Thank you for reviewing the Global Scientific Statement on Essential Fatty Acids, Lipid Composition, and Human Health. This signature form is intended for credentialed scientists, physicians, clinicians, researchers, academics, and other qualified health and scientific professionals who wish to add their names in support of continued scientific investigation, professional education, and evidence-informed discussion of essential fatty acids and human health.Please provide your professional credentials and affiliation below. Submissions may be reviewed before inclusion in the public signatory list and future submissions of the statement. Email addresses are collected for verification only and will not be published.
Full Name: Enter your full legal or professional name as you want it listed publicly.

PrefixFirst NameLast NameSuffix
Title / Credentials
MD, PhD, ND, RN, Researcher, Professor, Clinician, Scientist, Policy Expert
Organization / Institution
University, clinic, research center, nonprofit, company, or affiliation.
Email Address (Not Published) Used only for verification. Your email will never be public.

Confirmation Emailexample@example.com
Country of Residence / Practice

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Consent to Public Signatory Listing: I authorize my name, credentials, affiliation, and country to be included publicly as a signatory of this Open Letter.
Digital Signature
Should be Empty: