Volunteer

Become part of the Solution. VOLUNTEER.

In order to expand the public access to integrative medicine practice in cancer, we must have a powerful advocacy group to drive the related research forward. To promote our research accomplishments, and assist us in such move, we ask that each person take a brief moment to fill out the form below. If you wish to be a volunteer, please fill out the form below and submit.

Your information will not be shared with any third parties.

M.A. Nezami M.D
Founder, President of Pacific Medical Center of Hope inc.


First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
   I am a....... (please check all that apply)
   
   patient
   patient family
   physician
   public activist
   financial supporter
   Other
   
About yourself......(please check all that apply)
   
   I have contacts with potential financial contributors
   I have time to devote to activism
   I have contacts in the media
   I have a good relationship with a legislator or politician
   I'm part of a group which might be interested in working with us
   I have fundraising experience
   
How i can Help: