Individual medical students can participate in NMPRA by completing the form below. This form is for medical student registration only.

There is no fee for a medical student to participate in NMPRA. As a medical student involved in NMPRA you will receive our quarterly newsletter and can participate in the NMPRA listserv. You will also receive a NMPRA pin free of charge.

If you have any questions or difficulties with registration, please contact the NMPRA Medical Student Coordinator at info@medpeds.org.

Name:

Medical School:

Graduation Year:

Email Address:

Mailing Address:

City:

State:

Zipcode:

Would you like a NMPRA lapel pin mailed to you free of charge?
YesNo