Other Chapter Events | Maryland Chapter of ACEP

2026 Maryland ACEP Chapter Legislative Reception

This form should be used to register for the 2026 Maryland ACEP Chapter Legislative Reception that will be held on Wednesday, January 28, 2026 - 6:00 PM EST. Red, Red Wine Bar - Annapolis Maryland

Name(Required)

First Last Full Credentials

Email(Required)

Are you planning to attend the 2026 Legislative Reception?(Required)

Yes

Hospital Affiliation & Other

The following questions will help us gather the information needed to better coordinate your conversations with key legislators during the reception

Which hospital are you affiliated with?(Required)

What is your hospital zip code?(Required)

Who do you think is your constituent?(Required)

What is your home zip code?(Required)

What is your cell phone number?(Required)

This number will not be shared with anyone. It will only be use if we need to contact you about this event.

Would you like to bring a Resident or Medical Student to the 2026 Legislative Reception?(Required)

The goal of inviting a young professional colleague is to foster their engagement in advocacy at the chapter level.

Yes

What is his/her full name and email address?(Required)