PM&R Knowledge NOW Author Application - You must complete all required questions. Your application will not be finalized and available for consideration until you click the "Submit" button at the end.

1. Name *This question is required.

First Name
Middle Name (initial)
Last Name
Credential

2. Email: *This question is required.

3. Institution: *This question is required.

4. Are you a member of AAPM&R? *This question is required.Please Note: only Fellow Members of AAPM&R may serve as Lead Authors of PM&R Knowledge NOW topics. Residents/non-Fellow AAPM&R members should have a Fellow Member apply and list you as a co-author.

PM&R Knowledge NOW Author Application - You must complete all required questions. Your application will not be finalized and available for consideration until you click the "Submit" button at the end.

Section 1: About You (Note: only Fellow members of AAPM&R may serve as the lead author and should complete the application. Non-Fellow members may serve as co-authors)