2012 Virginia General Assembly
Virginia General Assembly Family Physician of the Day

 

Volunteers are needed to serve as Virginia General Assembly Family Physician of the Day during the 2012 Virginia General Assembly.  As the Virginia General Assembly Family Physician of the Day , you will be responsible for staffing the courtesy medical station for 9:00 a.m. – 3:30 p.m. on your chosen day.  Directions and more specific information will be provided with confirmation of your assigned date.  Reimbursement for participation as Virginia General Assembly Family Physician of the Day includes $100.00 per day per diem and mileage. 

Please select the date you are available and indicate it below.


PLEASE FILL IN THE BELOW AND CLICK SUBMIT
 
Preferred Date:

Name:

Address:

City/State/Zip:
Phone:

Fax:

E-mail: