FM Advocacy Day Registration Form - Pennsylvania Academy of Family Physicians

Tuesday, April 28, 2026
State Capitol Building, Harrisburg, PA

Family Medicine Advocacy Day brings together physicians, residents, and students for a day of legislative briefings, meetings with House and Senate leaders, and discussions on issues of importance to you and your patients. Join us at the beautiful and historic Pennsylvania Capitol Building in Harrisburg on Tuesday, April 28, 2026.

Please use the form below to register and plan to join us for a virtual prep session on Monday, April 20, from 5-6 p.m. We will send an invite to the virtual session at a later date.

REGISTRATION DEADLINE: Friday, April 17

Family Medicine Advocacy Day Registration Form

Attendee Name(Required)

First Last

Credential

Email(Required)

Mobile Phone(Required)

Allow Text Messages?

Yes

Exclusively for important updates prior to and during the event.

Registrant Type(Required)

Active Physician

Program Director

Resident

Student

Other

Employer/Practice/Residency Program/Institution Name(Required)

Will you attend the April 20th Virtual Prep Session?(Required)

Yes

Highly Recommended for All Attendees — In this one-hour virtual discussion, PAFP’s Chief Government Affairs Officer, Jennifer Reis, will share important details about the event agenda and offer tips for effective advocacy.

Optional: What advocacy issues are of interest to you?

We will use feedback to inform our future work and priorities.

Please share any dietary restrictions:

CAPTCHA