GME Capitol Day Registration Form To register for the 2026 GME Capitol Day, please complete the form below by Friday, May 1. On the day of the event, physician residents will be scheduled to meet with legislators representing the service areas of their affiliated organization. In deference to legislative schedules and limited meeting space in state offices, each participating group is limited to no more than three physician residents per hospital for this event. The event will be held 9 a.m. to 3:30 p.m. Wednesday, May 6, at the MHA Capitol Advocacy Center and the Michigan State Capitol, Lansing. Breakfast will be available at 8:30 a.m. Name(Required) First Last Title(Required)Email(Required) Cellphone Number(Required)To be used in case your meeting time changes during the day of the eventHospital/Health System/University Affiliation(Required)Affiliation Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code GME Director(Required)By participating in the 2026 GME Capitol Day, you agree to allow the MHA to use any photographs/video taken at the event in MHA publications and other material produced, used or contracted by the MHA, including but not limited to: brochures, invitations, reports, social media posts, websites, etc. A person attending this event who does not wish to have their image recorded, should email communicate@mha.org 24 hours in advance of the event to opt out of this photo release. Questions about registration may be directed to Elizabeth Kutter at the MHA. Note: Forms will not be accepted if they include URLs. Δ
