This form is to be used to apply for membership on the CAVM Discussion List.
The CAVM List is open only to veterinarians, physicians, or those holding a PhD in a basic medical science.
The information you provide is strictly for verification and demographic purposes. It will not be shared with anyone else.
The form must be filled out completely or your application will not be considered. This is especially important for applicants from outside the United States. The address field must be complete and include street, city, and country. The name of the veterinary school from which you graduated must be clearly spelled out and include the location (city and country).