Family Physician of the Day Registration : Family Physician of the Day Program : Advocacy : Nebraska Academy of Family Physicians

Thank you for your interest in serving as the Family Physician of the Day during the 2025 session. Please submit the form below and contact Kim Palmer at the NAFP office (nafpadmin@nebrafp.org) with any questions.

Name

Designation (MD, DO)

Address

This is where your FPOD information packet will be mailed.

City

State

Zip

Cell Phone Number

In lieu of a pager this year, we will be using cell phone numbers to contact the FPOD when they are needed.

This is where your FPOD reminders will be sent.

My District Senator is:

To locate your district/senator, copy this link into a new window: http://nebraskalegislature.gov/senators/senator_find.php

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I will serve ____ day(s):

Desired Date(s):

I will serve as a key contact, if necessary:

A key contact is someone who the NAFP could contact if a physician/senator connection needed to be made on a particular legislative issue.

Family Physician of the Day Registration

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