Join Us – Patriotic Doctors of Iran

Membership in Patriotic Doctors of Iran is open to physicians, nurses and healthcare personnel (Article 3 of the Statute).

Please fill in the form below. Our coordination team will then get in touch with you. If a member referred you, please include their name.

Salutation	Salutation Ms Mr
Academic title
First name
First name in Persian (optional)
Last name
Last name in Persian (optional)
Specialty / profession
Referred by (member)
City
Country
Phone	Preferably reachable via WhatsApp or Telegram
Email
I accept the Statute	I accept the Statute Yes No Not sure yet

If you have any questions, please write to info@patriotic-doctors.org.