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Use your CME dollars! Deadline to use is March 31. Read more.

Request an ACTT Physician Lead

ACTT Physician Leads (APLs) play an important role in projects, initiatives and tasks requiring clinical expertise

Please fill-out all fields to ensure the request can be reviewed and prioritized effectively.
You will receive a response within 7 business days.

Questions?

Please contact [email protected]

Which ACTT project or priority area does this request support? *
How would APLs support (service type)? *
Which ACTT Physician Lead (APL) goal does this meet? *
Please indicate if the dates are yet-to-be determined
How often will APL support be needed for this request?
Briefly outline the reason for APL involvement. Please include any background information necessary for understanding the context of the task or project.
Please describe the specific action you expect from the APL. Clearly outline what you hope to achieve with this assistance. (Examples: conference participation, curriculum review, meeting representation, physician engagement, webinar development or delivery or any other output aligned with ACTT projects)