Overcoming Medical Malpractice Program Application

Part 1/2

Thank you so much for your interest in the Overcoming Medical Malpractice Program!
PLEASE NOTE that this program is for US and Canadian PHYSICIANS ONLY.
Due to the sensitive and personal nature of this program, we require an application to join. We also require all applicants to provide verification of identity (in the next step).
This is to protect your privacy and the privacy of the other members of the program.

Once you submit this portion of the application, you will be asked to upload documentation of your identity and medical licensure. We keep these documents incredibly secure, but if you are unable to upload yours here, your application will be considered incomplete and will not be reviewed.