CDAN Membership Form

Welcome to CDAN!

The California Dermatology Advocacy Network (CDAN) was created to ensure dermatologists have a strong, unified voice in these conversations. CDAN is a dermatologist-led 501(c)(6) organization focused exclusively on state level advocacy to protect patient safety and the future of dermatologic care in California.

Membership is FREE.

Donations in support of our organization are welcomed. 100% of donations will be used to further the goals of our organization.

We welcome:
• Board-certified dermatologists (recognized by the American Board of Dermatology (ABD) and/or American Osteopathic Association (AOA))
• Retired dermatologists who meet membership standards and remain committed to advancing the profession

We invite you to become a free member and stand alongside colleagues committed to protecting patients and the profession.

Please complete this membership registration form so that we may keep you apprised of dermatology news, updates, and advocacy alerts. The information you provide below will also serve as the information we keep to populate your membership record.

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Disclaimer: By providing my email and/or phone number, I agree to receive occasional updates from CDAN. I may opt out at any time.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Membership is open to Board-certified dermatologists and retired dermatologists who meet membership standards. Please select which professional status best describes you?

Company Name (for example, name of your practice or who you work for):

What is your specialty practice area?

Which dermatology residency program did you complete?

If you own your own practice, please provide the link to your company website:

Are you a member of the California Medical Association?

If you are not a CMA member, check here if you would like to receive information on CMA.

CA Medical License (optional)

Do you have an Instagram profile? If yes, enter your handle below.

Would you like to be featured on CDAN's social media account? If so, let us know and we'll be in touch!

Since membership is FREE, we invite you to make a one-time donation to CDAN. The California Dermatology Advocacy Network (CDAN) is a dermatology-led nonprofit 501(c)(6) dedicated to protecting patient safety, defending physician-led dermatologic care, and ensuring the future of dermatology in California remains strong, transparent, and evidence-based.

Would you like to support us with a donation?

If you prefer to to send a check, please make it out to California Dermatology Advocacy Network and mail to:

California Dermatology Advocacy Network
Attention: Sheila Johnston, Executive Director
5960 South Land Park Dr #523
Sacramento, CA 95822

If you prefer to pay by Zelle, please use sheila@cadermadvocacy.org.

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