Become a CaPA Speaker!

The California Physicians Alliance is always looking for members who wish to speak on single-payer. If you would like to be considered for speaking engagements, please fill out the form below. To view a sample form, please click here.


Name:	*
Degree:	*
Specialty:	*
Affiliation:	*
Residency:	*
Chief Medical Practice Interest:	*
Speaking Experience:	*
Involvement with CaPA/PNHP:	*
	Contact Information
Street:	*
City:	*
State:	*
Zip:	*
Phone:	*
Email:	*
Additional Information:
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