Doctors Against Genocide - Member Information Form

Thank you for your commitment to standing against genocide and advocating for justice within the medical community. To strengthen our advocacy efforts, we need to better understand where our members are located and the institutions they are affiliated with. Please take a moment to fill out this form and help us demand our medical institutions take a stand against genocide!

Best,

Doctors Against Genocide Leadership


Privacy Note:
Your information will be kept confidential and will only be used for internal purposes to better organize and direct our advocacy efforts. We will not share your personal information with any third parties.