Steps:

 

Fax opt out form

US physicians and students attending US-accredited medical schools can use this form to opt out of receiving AMA fax communications. Please be sure to scroll to the bottom of the page to submit your information.

For validation purposes, please provide the following information:

Category

*
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Are you a:
*
Physician
Resident
Student

 

Steps:

 

Fax opt out form

Contact Information

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First Name
*
Middle Initial
 
Last Name
*
Date of Birth
*
(MM/DD/YYYY)
Year of graduation or expected year of graduation from medical school*
 
 
(YYYY)

 

Steps:

 

Fax opt out form

Fax opt out

*
Denotes a required field
 
 
By making this selection and providing your fax number below, you are requesting to not receive AMA fax communications.
Fax number
*