CAVM.net Application

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).

CAVM Application

Application for membership on the CAVM Discussion List

Your full name and degree(s).

Your complete mailing address, may be home or practice. You must include street, city, state or province, and country.

Your primary contact phone number, including country and area code. This can be your office, home or cell number.

Please enter a secondary phone number, including country and area code. This can be a home, office or cell phone. If you do not have a secondary phone number, enter your primary number again.

This should be the Email Address you want to use for your CAVM List subscription.

Please enter a secondary email address. This is especially important if your primary address is at AOL, Yahoo, or Hotmail. If you do not have a back-up e-mail address, please enter your primary address again.

Please enter the URL (Web site address) for your practice. If you do not have a Web site, please enter None. The URL address you enter should be complete, i.e., http://www.cavm.net/.

Please enter the name of the school where you did your undergraduate work.

Please enter the name of the school where you obtained your veterinary degree (or medical degree). You must include the full name of the school and its location (city, state or province, and country). This is especially important if it is located outside North America.

Please enter any post-doctoral training you have received and any board certification. Please be specific and don't use abbreviations. If you don't have any post-doctoral training or certification, please enter None.

Please enter any relevant specialty board certification, conventional and/or alternative/complementary. Please be specific and don't use abbreviations. If none, please enter None.

Please list the complementary or alternative modalities that you use in your practice. Again, be specific and don't use abbreviations. If you do not use any complementary or alternative therapies in your practice, enter None.

Please list the name(s) of current members of the CAVM List whom you know. If you do not know anyone on the CAVM list, please enter the name and e-mail address of a veterinary colleague who can vouch for your qualifications.