MD or DO Champion Member Application

MD/DO Champion Member

Dear Doctor,

We look forward to your membership! By completing the application below, and submitting the minimum $350 membership dues, you are certifying that you are a Medical Doctor or Doctor of Osteopathic Medicine and that you are opposed to mandatory vaccination laws. As such, you agree to keep matters discussed in our private web forum strictly confidential. It may take over one week for you to be added to the forum, depending on how long it takes us to contact your professional reference.

Thank you!

Shira Miller, M.D.
Physicians for Informed Consent
Founder and President (Volunteer Position)
Since 2015

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