EmailMeForm
PAN Medical Student Registration
Thank you for your interest in nutrition education and resources for your medical school group. Please complete this form and you will be contacted shortly. Email Megan Fischer at info@pan-usa.org with any questions and for assistance.
Your Name
*
First
Last
Your Medical School
*
City
State
Your Status
*
Student
Instructor
Other
Your Email
*
I want to receive PAN USA's e-newsletter.
Your Phone
###
-
###
-
####
How do you prefer to be contacted? (check all that apply)
Email
Phone call
Text
I would like to schedule a free virtual presentation about the science of nutrition and its effect on health.
*
Yes
No
To schedule a presentation, please share possible dates/times and any other scheduling information.
Are there other ways PAN USA can support your group with nutrition information and resources?
Comments or questions?
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