Official Positions

ISCD Public Policy Grassroots Volunteer Form

Thank you for your interest in helping ISCD Public Policy efforts. Complete the following form to be added to our Grassroots List of volunteers. List your HOME address below as that allows us to identify your congressional representatives.
Clinician Technologist Other
	Specify Other:
First Name:
Last Name:
Home Address:
Home City:
Home State:
Home Zip:
	Home Work Home or Business Phone
Phone:
	Home Work Home or Business E-mail address:
E-mail Address:
If you have connections or ties to any member of Congress (friend, neighbor, acquaintance) and would be willing to help us deliver our message, please note that information here:

If You Have a Story to Share, please tell us how the cuts will affect your patients, your practice, your decision to purchase equipment, etc. We may use these vignettes in our advocacy materials.

Page Last Updated: 07/28/2011