The purpose of this form is to allow you to share information about a state legislative or regulatory issue impacting radiology in your chapter. Additionally, by submitting this form you earn ten points for your chapter towards the Chapter Recognition Award in Government Relations.
Instructions:
Please complete the entire form and click "Submit" when finished. Your responses may be shared with other chapter leaders and ACR staff.
If you have questions about this form please contact the ACR Office of Chapter and Volunteer Development at (800) 401-1438 or at chapters@acr.org. |
| Name |
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| Chapter |
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| Position in Chapter |
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| E-mail Address |
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| Telephone Number |
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| 1. Is this a legislative or regulatory issue? |
| Legislative Regulatory Unsure |
| 2. Please describe the issue in detail. |
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| 3. What is your chapter doing to address the issue? |
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| 4. Does your chapter want assistance from the ACR? |
| Yes No |
If possible, please forward a copy of materials related to this event to the ACR Office of Chapter and Volunteer Development.
These materials may include: more detailed information about the issue and communications sent to chapter members about the issue
Via email:
Via fax:
Via post: |
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chapters@acr.org
(703) 262-9319
ACR
ATTN: ACR Office of Chapter and Volunteer Development
1891 Preston White Dr.
Reston VA 20191 | |
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