Skip survey header

2019 CMA Health Summit - Patient Program Application Form

The CMA Health Summit Patient Program is for patients and caregivers with lived experience in health care who want to be part of the conversation on today's most pressing health issues.
 
If you are selected for the Patient Program, your CMA sponsorship will include registration, travel and accommodation expenses paid in full, in advance.
 
Apply now!
1. Please provide your contact information below:
Salutation *This question is required.
Titre de civilité
This question requires a valid email address.
2. Please let us know your Twitter handle, LinkedIn profile name and personal website, if you have one.