Exit
Please use this form to certify your state or specialty medical society's representatives for the 2025 AMA Young Physicians Section (YPS) Assembly. Contact yps@ama-assn.org with any questions. Please note the YPS only requires credentialing once per year. If a member is credentialed for the Annual Meeting they will automatically be credentialed for the Interim Meeting.

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* 1. State medical society -- select state
Specialty societies, please skip to next question

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* 2. Specialty society -- select name

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* 3. State/specialty society staff contact

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* 4. YPS Chair (if applicable)

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* 5. YPS Representative #1

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* 6. YPS Representative #2

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* 7. YPS Representative #3 (If Applicable)

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* 8. YPS Representative #4 (If Applicable)

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* 9. YPS Representative #5 (If Applicable)

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* 10. YPS Representative #6 (If Applicable)

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* 11. YPS Representative #7 (If Applicable)

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* 12. YPS Representative #8 (If Applicable)