CMA COVID-19 Response - Sign Up to Help!
COVID-19 is putting a tremendous strain on physicians, especially those on the front lines, and the state is in the middle of experiencing an unprecedented surge in patient care needs.

In collaboration with the Governor’s office, the California Medical Association (CMA) is calling on physicians to volunteer their time and talent in service to impacted communities across the state.

If you are willing and able to volunteer your services, please fill out the below Google form.

In the coming days and weeks, we’ll contact all submitters with opportunities to help.

Thank you in advance for your consideration and service.
Email address *
First name *
Your answer
Last name *
Your answer
Specialty *
Your answer
Mobile Phone *
Your answer
Counties where you practice medicine? *
Your answer
MBC License # (mark n/a if you're a medical student) *
Your answer
Start date? *
MM
/
DD
/
YYYY
Distance restrictions? *
If you have distance restrictions, please briefly specify. (If no, skip to the next question.)
Your answer
Time constraints? *
If you have time constraints, please briefly specify. (If no, simply skip this question.)
Your answer
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