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Home » AAAP Mentoring Program » Mentor Application

Mentor Application

AAAP Mentoring Program

Please complete the following form. Once received, we will match you up with a mentee. Please feel free to contact us at 401-524-3074 if you have any questions.

The Mentoring Program is for educational purposes only. Participants agree that they will not rely on this information while treating patients or providing other professional services

  • Contact Information

  • Education / Certifications / Specialty

  • Max. file size: 50 MB.
    CV is used for in house reference ONLY and will not be displayed on the mentoring website.

  • Mentor Info

  • Ask A Colleague—an opportunity for mentees to pose a question through an online portal and receive advice from a clinical expert and/or colleague
    Mentoring—provides individualized, one-on-one guidance to discuss specific clinical issues and/or career and life challenges.
    Select all that apply.
  • Accepted file types: jpg, gif, png, Max. file size: 50 MB.

  • I understand and agree that all information that I receive through the AAAP Mentoring Program is for educational purposes only, and that I will not rely on this information when treating patients or providing other professional services. I understand and agree that AAAP is not responsible in any way for any treatment or services that I provide based on information that I receive through the AAAP mentorship program, and I agree to indemnify and hold harmless AAAP for any claims related to services that I provide.

Inequities in SUD - AM 2022

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The content on this site is intended solely to inform and educate medical professionals. This site shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional.

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