ISAM PPIG Expression of Interest
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.
Email address *
Full Name *
Location (City, Country) *
Profession
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.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Monash University. Report Abuse