ISAM PPIG Expression of Interest

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Express your interest in being part of the new International Society of Addiction Medicine (ISAM) Policy and Practice Interest Group (PPIG) by completing this form.
Let's start with your preferred email address.
You can also request a copy of this completed form to go to your email address.

Full Name *

Location (City, Country) *

Profession

Physician, Addiction Specialist- Addiction Medicine or Addiction Psychiatry

Physician- Family Medicine or General Practice

Physician- Other

Trainee Physician

Nurse

Pharmacist

Allied Health- Psychology, Social Work, Other

Academic Researcher (Non-Clinician)

Other

Current Work Role/ Position

Areas of Interest & Expertise

Any further comments for ISAM PPIG Co-Chairs?

Thank you for expressing your interest in being part of the ISAM PPIG.

We will add you to our mailing list to notify you of upcoming events and information as the PPIG develops.

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