Women Physicians Section (WPS) Ballot Request Form
Request a ballot to vote in the AMA-WPS Governing Council runoff election taking place May 7 - 15, 2026. Prior to submitting this form, please check your spam and alternative email addresses to ensure the ballot was not previously received. Please note only those with an active AMA Membership are qualified to vote.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a current AMA Member? Membership must be active to qualify.
*
Yes
No
Unsure
Submit
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