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Become a Key Contact

Thank you for your interest advocating for Texas medicine! Use the online form below to register as a "key contact" who will act on legislative alerts from TAIM Services during state and federal debates on healthcare policy.

Your Texas Chapter of the ACP stands ready to assist you in speaking out on behalf of your patients and your practice.


First name *
Middle name
Last name *
Address *
City *
State *
Zip Code *
Phone (xxx)xxx-xxxx *
Fax *
Email *

Are you related to the Lieutenant Governor? Do you play golf or go to church with your Senator or Representative? Tell us if you know or want to get to know your elected officials. Do you need to find out who represents you?


Do you have a relationship with one of your local officials? *
  Please feel free to elaborate:
Do you have a relationship with a member of the Texas Legislature? *
  Please feel free to elaborate:
Do you have a relationship with a Texas statewide elected official? *
  Please feel free to elaborate:
Do you have a relationship with a member of the United States Congress? *
  Please feel free to elaborate:
Do you have a relationship that you feel would benefit TAIM Services grassroots political advocacy program? *
  Please feel free to elaborate:
Comments

Let us know how you would like to be an advocate. Our Public Affairs Manager will assist you. Hold the control key to select multiple responses.


I am interested in: *

Please indicate your level of concern for the medical profession on the following issues. Feel free to identify additional issues of concern to you in the comments section.


To me, prompt pay is: * Of great concern
Of some concern
Of little concern
To me, medical liability is: * Of great concern
Of some concern
Of little concern
To me, standardized contracting is: * Of great concern
Of some concern
Of little concern
To me, patient safety is: * Of great concern
Of some concern
Of little concern
To me, ensuring an adequate physician/nurse workforce is: * Of great concern
Of some concern
Of little concern
Comments



 

 
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